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� CITY OF ORONO * 2 0 1 5 - 0 0 7 5 6 * <br /> , , • , 2750 KELLEY PARKWAY DATE ISSUED: 06✓1]/2015 <br /> . ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2760 SHADYWOOD RD <br /> PIN : 21-117-23-24-0040 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1196 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW FOR ATTACHED GARAGE,PERMIT#2015-00754-PAID BY OWNER�JEFFREY ENGLER,CK#1070-$2,500.00 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> ENGLER,JEFFREY&EVIE Payment(s) <br /> 3330 MARTHA LANE CHECK 1070 2,500.00 <br /> MINNETONKA,MN 55345- <br /> OWNER <br /> ENGLER,JEFFREY&EVIE <br /> 3330 MARTHA LANE <br /> MINNETONKA,MN 55345- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specificadons,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant pertnission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be wmpied with whether or not specified herein.This permit will <br /> expire and become null and void if construction suthorized is not <br /> commenced within 180 days of the date of issuance,or if consVuction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> 7'he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be � <br /> revoked at any time for due cause. <br /> a,� (..e..� � .-c..t-�-� l�, I 1 , 15 <br /> A.pplicant Permitee Si tu e Date Issued By Signa Date <br />