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iiiiiiiiiiiiiiiiiiiiiillillillillillillilliilillim <br /> CITY OF ORONO * 2 0 1 6 — 0 0 6 2 7 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/01/2016 <br /> ORONO,MN 55356- <br /> or (952)249-4600 FAX: (952)249-4616 <br /> AD)RESS : 3465 WATERTOWN RD <br /> PIN : 32-118-23-43-0008 <br /> LEGAL DESC : UNPLATTED 32 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: ESCROW FOR NEW HOME PERMIT#2016-00319-PAID BY:OWNERS,JUSTIN&LYNSEY AUL-CK#1528-$2,500.00 <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> TOTAL 2,500.00 <br /> AUL,JUSTIN&LYNSEY Payment(s) <br /> 5791 SUNNYBROOK LA CHECK 1528 2,500.00 <br /> MINNETRISTA,MN 55364- <br /> OWNER <br /> AUL,JUSTIN&LYNSEY <br /> 5791 SUNNYBROOK LA <br /> MINNETRISTA,MN 55364- <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 does <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. r � <br /> Applicant Permitee Signature< �� Date Issued By Signature Date <br />