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'^ CITY OF ORONO <br /> * Z PJ 1 6 - 0 1 0 PJ 4 * <br /> r 2750 KELLEY PARKWAY DATE ISSUED: 08/19/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1940 SHORELINE DR <br /> PIN : 10-117-23-42-0007 <br /> LEGAL DESC : ELBRIDGE S BARNES 1ST SUBD 10- <br /> : LOT 005 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: ESCROW FOR ZONING PERMIT#2016-00988-PD BY:ALAN&ANNE NETTLES-CK#15838-$2,000.00 <br /> APPLICANT ESCROW FEE-APPLICANT 2,000.00 <br /> TOTAL 2,000.00 <br /> NETTLES,ALAN&ANNE Payment(s) <br /> 1940 SHORELINE DR CHECK 15839 2,000.00 <br /> WAYZATA, MN 55391- <br /> OWNER <br /> NETTLES,ALAN&ANNE <br /> 1940 SHORELINE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEME1vT <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 does <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 afrer 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 caus . � / {, <br /> � � c�,� ���'� �- �'� l <br /> � - - � � ,� <br /> Applicant Permitee Signature te Issued By Signature Date <br />