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iiiiiiiiiiiiiiiiiiiiiillillilillin <br /> CITY OF ORONO * 2017 - 00798 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/11/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 4035 DAHL RD <br /> PIN 07-117-23-14-0003 <br /> LEGAL DESC UNPLATTED 07 117 23 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS$2500 ESCROW IS TIED TO DEMOLITION PERMIT 2017-00797 PAID BY JHG PROPERTIES CHECK#1008 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> JHG PROPERTIES LLC Payment(s) <br /> 4035 DAHL RD CHECK 1008 2,500.00 <br /> EDEN PRAIRIE, MN 55344- <br /> (952)767-0167 <br /> OWNER <br /> JHG Properties LLC <br /> 12700 ANDERSON LAKES PKWY <br /> EDEN PRAIRIE,MN 55344- <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 />