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CITY OF ORONO * 2 0 1 5 - PJ 0 7 5 6 * <br /> , ' 2750 KELLEY PARKWAY DATE ISSUED: 06/1U2015 <br /> 1� ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDR SS : 2760 SHADYWOOD RD <br /> P1N : 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 BUILD[NG PERM[T <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW FOR ATTACHED GARAGE,PERMIT#2015-00754-PA[D BY OWNER-JEFFREY ENGLER,CK#1070-$2,500.00 <br /> APPLICANT ESCROW FEE- BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> ENGLER,JEFFREY& EVIE Payment(s) <br /> 3330 MARTHA LANE CHECK 1070 2,500.00 <br /> MINNETONKA, MN 55345- <br /> City �f iiror�o <br /> 2?50 4�.:1 le� Parkway <br /> OWNER Oronn MN 55356 �52-�49-4b0U <br /> ENGLER,JEFFREY&EVIE Receipt Nc 3.013E12 Jun 11, 2i;15 <br /> 3330 MARTHA LANE <br /> MINNETONKA, MN 55345- Jeffrey Fngler <br /> Planning and Zonin <br /> 2015-00756 Escrow �ai 2,`��UU.Oi; <br /> Att�rhed Gara�7e Fermit <br /> �2015-00754 <br /> AGREEMENT AND SWORN STATEMENT 1�i1-22205 <br /> Deferred Rev-Ueveloper l)e��osit <br /> The work for which this permit is issued shall be performed according to --------------- <br /> the approved plans and specifications,applicable City approvals,and the Total: 2,5UO.OU <br /> State Building Code. This permit is for only the work described and does =�______-- =__=- <br /> not grant permission for additional or related work which requires separate �heck <br /> permits. All provisions of laws and ordinances governing this type of work Chee�k No: 1070 2,500.UO <br /> shall be compied with whether or not specified herein.This permit will Fayor: <br /> expire and become null and void ifconstruction authorized is not JP,ffrey Fngler <br /> commenced within 180 days of the date of issuance,or if construction is Tota 1 App 1 i ed: 2.5G0_UO <br /> suspended for a period of 180 days at any time after work has commenced. ;�� -,-„�� 7,.��������i; ,pil <br /> The applicant is responsible for assuring all required inspections are -_ ---- <br /> requested in conformance with the State Building Code.This permit may be ���!1 I/?U15 �?_�''.',dF'M <br /> revoked at any time for due cause. � <br /> ,/ i � �� � / <br /> � ��,u l�$o 1.�� �� ��( � � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />