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CITY OF ORONO * z � 1 5 — 0 0 2 6 m * <br /> '� 2750 KELLEY PARKWAY DATE ISSUED: 03/02/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1491 SHORELINE DR <br /> PIN , : 11-117-23-23-0008 <br /> LEGAL DESC : N J STLJBBS 1 ST SUBD LOT NO 2 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: ESCROW FOR ZONING PERMIT#2015-00259-PAID BY:THE KRIER'S-CK#11055-$2,000.00 <br /> APPLICANT ESCROW FEE-APPLICANT 2,000.00 <br /> KRIER,RICHARD&JANET TOTAL 2,000.00 <br /> Payment(s) <br /> 1491 SHORELINE DR CHECK 11055 2,000.00 <br /> WAYZATA,MN 55391- <br /> OWNER <br /> KRIER,RICHARD&JANET <br /> 1491 SHORELINE DR <br /> WAYZATA,NIN 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. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction 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 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 /> /)I J <br /> G ' 1 Q.t � lT�' C'1�YlEs�.i') N � , � , ! <br /> Applicant Permitee Signature Date Issued By Signa re Date <br />