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CITY OF ORONO <br />2750 KELLEY PARKWAY <br />ORONO, MN 55356- <br />249-4000 1"AX: (952) 249-4616 <br />ADDRESS : 440 BROWN RD S <br />PIN : 03-117-23-42-0012 <br />LEGAL DESC : STRONGHOLD <br />: LOT 003 BLOCK 001 <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 APPLICATION 16-3872 <br />APPLICANT <br />SULLIVAN, TIMOTHY <br />440 BROWN RD S <br />WAYZATA, -MN 55391- <br />OWNER <br />SULLIVAN, TIMOTHY <br />440 BROWN RD S <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 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 />reauested in conformance with the State Building Code. This permit may be <br />revoked at any time for due cause. <br />Applicant Perrrtitee Signature Date <br />* 2016--01 163* <br />DATE ISSUED: 09/22/2016 <br />ESCROW FEE - APPLICANT 2,500.00 <br />TOTAL 2,500.00 <br />Payment(s) <br />CHECK 5979 2,500.00 <br />1 / <br />Issued By Signature Date <br />