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� , CITY OF ORONO * 2 0 1 5 - 0 1 1 9 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/17/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1400 BALDUR PARK RD <br /> PIN : 08-117-23-31-0001 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT O15 BLOCK 001 <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$1800 ESCROW IS TIED TO BUILDING PERMIT 2015-01193 <br /> APPLICANT ESCROW FEE-BUILDING 1,800.00 <br /> TOTAL 1,800.00 <br /> ELLIOTT, STEVE Payment(s) <br /> 1400 BALDUR PARK RD 1,800.00 <br /> WAYZATA,MN 55391- <br /> OWNER <br /> ELLIOTT, STEVE <br /> 1400 BALDUR PARK RD <br /> WAYZATA, MN 55391- <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 goveming this rype 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 />