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� '� CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 6 — 0 0 4 0 0 * <br /> DATE ISSUED: 04/2U2016 <br /> ORONO,NIN 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 : UNPLATTED 28 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$1400 ESCROW IS TIED TO ZONING APPLICATION PERMIT 16-3828 <br /> APPLICANT ESCROW FEE-APPLICANT 1,400.00 <br /> TOTAL 1,400.00 <br /> Stonegate Farm Payment(s) <br /> 6851 FLYING CLOUD DR CHECK 4249 1,400.00 <br /> EDEN PRAIRIE,MN 55344 <br /> OWNER <br /> Stonegate Farm <br /> 6851 FLYING CLOUD DR <br /> EDEN PRAIRIE,MN 55344- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned 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 governing 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 /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />