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CITY OF ORONO * 2 0 1 5 - 0 0 6 4 1 * <br /> � ' 2750 KELLEY PARKWAY DATE ISSUED: 05/2U2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2940 SIXTH AVE N <br /> PIN : 28-118-23-31-0001 <br /> LEGAL DESC : LJNPLATTED 28 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMTT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$2500 ESCROW IS TIED TO ZONING APPLICATION 15-3747 <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> ESCROW FEE-DEVELOPER 0.00 <br /> Stonegate Fazm TOTAL 2,500.00 <br /> 6851 FLYING CLOUD DR Payment(s) <br /> EDEN PRAIRIE,MN 55344 CHECK 3286 2,500.00 <br /> OWNER <br /> Stonegate Farm <br /> 6851 FLYING CLOUD DR <br /> EDEN PRAIRIE,MN 55344 <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he 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 Iaws 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 appticant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.1'his permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />