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1• � ICITY OF ORONO 1' 1 1 � 1' L �� '� � I 1 <br /> * 20 1 S - 0092 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/23/2015 <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 015 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$700 ESCROW IS TIED TO C.U.P.APPLICATION 15-3773 <br /> APPLICANT ESCROW FEE-APPLICANT 700.00 <br /> TOTAL 700.00 <br /> ELLIOTT, STEVE Payment(s) <br /> 1400 BALDUR PARK RD CHECK 7229 700.00 <br /> WAYZATA,MN 55391- <br /> OWNER <br /> ELLIOTT,STEVE <br /> 1400 BALDUR PARK RD <br /> WAYZATA,MN 5539 I- <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 /> Applicant Permitee Signature Date Issued By Signature Date <br />