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CITY OF ORONO * 2 0 1 5 - 0 1 1 5 2 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 09/09/2015 <br /> ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 965 EDGEWOOD HILLS RD <br /> PIN : 02-117-23-14-0001 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1098 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILD[NG PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NO'I'E: ESCROW FOR BUILD[NG PERMIT#2014-01400 FOR ADDITION/REMODEL-PAID BY: ROBERT BJORK-CK#S l63-$700.00 <br /> APPLICANT ESCROW FEE- BU[LDING 700.00 <br /> BJORK, ROBERT& BETH TOTAL 700.00 <br /> Payment(s) <br /> 965 EDGEWOOD HILLS RD CHECK 5163 700.00 <br /> WAYZATA, MN 55391- <br /> OWNER <br /> BJORK, ROBERT& BETH <br /> 965 EDGEWOOD HILLS RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according ro <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 l80 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 permi[may be <br /> revoked at any time for due cause. � ` <br /> I )� j <br /> 1 ��� �� � � �� ' , � <br /> � ���'' , � � � �[ � � � t i � i <br /> � � �,E( a� � `, l , , <br /> Applicant Perm�tee Signatu� �e Issued By Signature Date <br />