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� CITY OF ORONO * 2 0 1 5 - 0 1 1 9 1 * <br /> - 2750 KELLEY PARKWAY DATE ISSUED: 09/16/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2150 SHEVLIN DR <br /> PIN : 03-117-23-34-0020 <br /> LEGAL DESC : WEBBER HILLS <br /> : LOT 003 BLOCK 003 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS$2500 ESCROW IS TIED TO DEMO PERMIT 2015-01119 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> LEWIN, SPENSER&KATIE TOTAL 2,500.00 <br /> 2150 SHEVLIN DR Payment(s) <br /> WAYZATA,MN 55391- CHECK 2371 2,500.00 <br /> OWNER <br /> LEWIN, SPENSER&KATIE <br /> 2150 SHEVLIN DR <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <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 <br /> State Building Code. T'his perrt►it is for on�y the work described and dces <br /> not grant permission for additional or relatpd work which requires separate <br /> permiu. All provisions of laws and ordinapces goveming this type of work <br /> shall be compied with whet}►er or not spec�'ied herein.This permit will <br /> expire and become null and void if construption authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring al1 required inspections are <br /> requested in confortnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />