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CITY OF ®RONG <br />2750 K EILILEY PARKWAY <br />ORONO, MN 55356- <br />149-46UU YAX: (952) 249-4616 <br />ADDRESS <br />: 1400 BRACKETTS POINT RD <br />PIN <br />: 11-117-23-32-0020 <br />LEGAL DESC <br />: RGT ORONO POINT <br />LOT 000 BLOCK 000 <br />PERMIT TYPE <br />: ESCROW FEE - APPLICANT <br />PROPERTY TYPE <br />: RESIDENTIAL <br />CONSTRUCTION TYPE <br />: ESCROW FEE - APPLICANT <br />*2017-01627�k <br />DATE ISSUES: 12/141/2017 <br />NOTE: THIS $5000 ESCROW IS TIED TO ZONING PERMIT 18-3998 AND 18-3999 PAID BY JAMES JUNDT CHECK 518 <br />APPLICANT <br />JUNDT, JAMES & MARY <br />42486 N 109TH PLACE <br />SCOTTSDALE, AZ 85262-3296 <br />OWNER <br />JUNDT, JAMES & MARY <br />42486 N 109TH PLACE <br />SCOTTSDALE, AZ 85262-3296 <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 />ESCROW FEE - APPLICANT <br />Payment(s) <br />CHECK 518 <br />5,000.00 <br />TOTAL 5,000.00 <br />5,000.00 <br />Applicant Permitee Signature Date <br />Issued By Signature <br />Date <br />