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CITY OF ORONO * z 0 1 5 - 0 1 1 1 0 * <br /> ' ' 2750 KELLEY PARKWAY DATE ISSUED: 09/OU2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1050 EDGEWOOD HILLS RD <br /> PIN : 02-117-23-13-0003 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1098 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS$2500 ESCROW IS TIED TO DEMO PERMIT-2015-01109 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> STEINER, BARBARA Payment(s) <br /> 1050 EDGEWOOD HILLS RD CHECK 104 2,500.00 <br /> WAYZATA,MN 55391- <br /> OWNER <br /> STEINER, BARBARA <br /> 1050 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 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 goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become nul(and void if construction authorized is not <br /> commenced within 18o 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued�y Signature Date <br />