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CITY OF ORONO <br />2750 KELLEY PARKWAY <br />ORONO, MN 55356- <br />*2013-00655* <br />DATE ISSUED: 07/16/2013 <br />ADDRESS <br />PIN <br />LEGALDESC <br />(952) 249-4600 FAX: (952) 249-4616 <br />: 1380 BRlAR ST <br />: 10-117-23-31-0053 <br />: MARl<.VILLE <br />: LOT 000 BLOCK 002 <br />PERMIT TYPE : ESCROW FEE -APPLICANT <br />PROPERTY TYPE : RESIDENTIAL <br />CONSTRUCTION TYPE : ESCROW FEE -APPLICANT <br />NOTE: THIS $2500 ESCROW IS TIED TO ZONING PERMIT 13-3619 -PAID WITH CHECK #513 I -BY JESSICA WARNER <br />APPLICANT <br />WARNER, JESSICA A <br />1380 BRlAR ST <br />WAYZATA, MN 55391- <br />WARNER, JESSICA A <br />13 80 BRIAR ST <br />WAYZATA, MN 55391- <br />OWNER <br />AGREEMENT AND SWORN STATEMENT <br />The work for which this permit is issued shall be perfonned 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 oflaws 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 />I <br />Applicant Permitee Signature Date <br />ESCROW FEE -APPLICANT <br />ESCROW FEE -DEVELOPER <br />TOTAL <br />Issued By Signature <br />SEP ARA TE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />Date <br />2,500.00 <br />0.00 <br />2,500.00