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CITY OF ORONO <br />2750 KELLEY PARKWAY <br />ORONO, MN 55356- <br />(952) 249-4600 FAX: (952) 249-4616 <br />ADDRESS <br />PIN <br />LEGALDESC <br />PERMIT TYPE <br />PROPERTY TYPE <br />CONSTRUCTION TYPE <br />: 440 BROWN RD S <br />: 03-117-23-42-0012 <br />: STRONGHOLD <br />: LOT 003 BLOCK 00 1 <br />: ESCROW FEE -APPLICANT <br />: RESIDENTIAL <br />: ESCROW FEE-APPLICANT <br />NOTE: TH IS $2500 ESCROW IS TIED TO ZON ING APPLICATION 16-3872 <br />APPLICANT <br />SULLIVAN, TIMOTHY <br />440 BROWN RD S <br />WAYZATA, MN 55391- <br />SULLIVAN, TIMOTHY <br />440 BROWN RD S <br />WAYZATA, MN 55391- <br />OWNER <br />AGREEMENT AND SWORN STATEMENT <br />The wo rk for which this permit is issued shall be performed according to <br />the approved plans and specifications, applicable C ity approvals, and the <br />State Building C ode. This permit is for only the work described and does <br />not g rant permission for additional or related work which requires separate <br />permits. All provisions of laws and o rdinan ces govern in g this type of work <br />shall be compied w ith w hethe r o r not specified here in. This permit will <br />expire and become null and void if construction authorized is not <br />commenced within 180 days of the date of is s uance, or if construction is <br />suspended for a pe ri od of 180 days at a ny time after work has commenced . <br />The app li cant is responsible for assuring all required in s pections are <br />requested in conform ance with the S tate Bui lding Code. This permit may be <br />revoked at any time for due cause. <br />App li cant Permitee Signatu re Date <br />ESCROW FEE -APPLICANT <br />Payment(s) <br />C HECK 5979 <br />Issued By Signature <br />111 111111 1,1 I II IIII II I IIIIII I l1I I 111111 111111 <br />1 <br />I 111111111 111 <br />*2016-01163* <br />DATE ISSUED: 09/22/2016 <br />TOTAL <br />Date <br />2,500.00 <br />2,500.00 <br />2,500.00 <br />I I