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CITY OF ORONO * z 0 1 z - PJ 1 PJ Z 9 * <br /> 27�0 KELLEY PARIiWAY DATE ISSUED: 10/1�/2012 <br /> ORONO, MN ��3�6- <br /> (9�2) 249-4600 FAX: (9�2) 249-4616 <br /> ADDRESS : 1380 FOX ST <br /> PIN : 02-117-23-31-0009 <br /> LEGAL DESC : MINNETONKA BLUFFS <br /> : LOT 000 BLOCK 013 <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 $2500.00 ESCROR'1S TIED TO BUILDING PERMIT 2012-00936-PD CHECK#3103 <br /> APPLICANT ESCROW FEE- BUILDING 2,500.00 <br /> ABD Consultin�Services,LLC TOTAL 2,�00.00 <br /> P.O. BOX 1 F MTKA <br /> MINNETONKA, MN 55345- <br /> (952)567-1365 <br /> OWNER <br /> ABD Consulting Services,LLC <br /> P.O. BOX 1 F MTKA <br /> MINNETONKA, MN 55345- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall he performed accordin�to <br /> the approved plans and specifications,applicable Citv approvals,and the <br /> State Building Code. This permit is for onl}�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 wil] <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 anv time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Buildins Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued Bv Sienature Date <br /> SEPARATE PERMITS REQUIRED FOR WORIt OTHER THAN DESCRIBED ABOVE. <br />