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CITY OF ORONO * z 0 1 5 - � 0 1 4 0 * <br /> ^ 2750 KELLEY PARKWAY DATE ISSUED: 02/02/2015 <br /> � ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 960 FERNDALE RD W <br /> PIN : 02-117-23-44-0017 <br /> LEGAL DESC : COUNTRY CLUB ESTATES <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 BUILD[NG PERM[T <br /> NOTE: F,SCROW TIED TO DEMO PERMIT#2015-00126 PD CK#6088-02/02/15 BY J.S. STEWART COMPANIES <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> J.S. STEWART COMPANIES Payment(s) <br /> 11030 LAMONT AVE CHECK 6088 2,500.00 <br /> HANOVER, MN 55341 <br /> (763)424-9030 <br /> OWNER <br /> BROOKS,JOHN&JOAN <br /> 960 FERNDALE RD W <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his permi[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 rela[ed 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 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[ime 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 /> /�� <br /> (��f�� l���1.� -< <� C `�Y�'L CC�� 2 � � � �5 � <br /> Applicant Permitee Signature Date Issued B Signature Date <br />