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CITY OF ORONO * 2 0 1 5 - 0 1 0 0 4 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/06/2015 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2687 WAYZATA BLVD W <br /> PIN : 33-118-23-13-0002 <br /> LEGAL UESC : UNPLATTED 33 118 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 TIED TO ZONING PERMIT#2015-00511 FOR LAND ALTERATION-PD CK#3561-$2,000,PD BY:LONG LAKE <br /> PROPERTIES <br /> APPLICANT ESCROW FEE-APPLICANT 2,000.00 <br /> TOTAL 2,000.00 <br /> Long Lake Properties LLC Payment(s) <br /> 8525 E PINNACLE PEAK RD CHECK 3561 2,000.00 <br /> SCOTTSDALE,AZ 85255- <br /> (952)449-5755 <br /> OWNER <br /> Long Lake Properties LLC <br /> 8525 E PINNACLE PEAK RD <br /> SCOTTSDALE,AZ 85255- <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. <br /> Applicant Permitee Signature Date Issued By Signature Date <br />