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f � <br /> CITY OF ORONO * z a 1 4 — 0 1 0 5 4 * <br /> 2750 KCLLEY PARKWAY uATE ►SsuFn: 09/17/2014 <br /> ORONO, MN 5_5356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2630 FOX ST <br /> P[N : 04-117-23-42-0009 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1249 <br /> : LOT 000 BLOCK 000 <br /> PGRMIT TYPE : ESCROW FEE- APPLICANT� <br /> PROP�RTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEF. - APPLICANT <br /> NO�I'E: ]1115 $2�00[:SCRO��' IS"TIGD TO Sl lI3D[V1S10N Id-3(92 <br /> APPLICANT ESCROW FEE- APPLICANT 2,500.00 <br /> ESCROW FEE- DEVELOPER 0.00 <br /> SARENPA, ANTHONY R NICOLE <br /> 2630 FOX ST TOTAL 2,500.00 <br /> WAYZATA, MN 55391- Payment(s) <br /> CHECK 2155 2,500.00 <br /> OWNER <br /> SARENPA, ANTHONY&NICOLE <br /> 2630 FOX ST <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he wurk fur���hich this permit is issued shall be perfonned accor�ine to <br /> the approvcd pl�ns and specitications,applicable City approvals,and the <br /> State F3uildin�Code. This permit is for only the���ork des�ribed and does <br /> not grant permission t�x additional or related work which requires separate <br /> permits. All provisions of laws and ordinances govcrning diis type of work <br /> shall be compied�vith���he[her or not specified herein.This permit will <br /> espire�nd become null and void if construction authorized is not <br /> commenced wid�in 180 days of die date of issuance,or if construc[ion is <br /> suspended for a period of 180 days at any time after work has contmenced. <br /> The applican[is responsible for�ssurin�all required inspections arc <br /> requested in conformance with the State 13uilding Code."I�his permit may be <br /> revoked at any time for due cause. <br /> / / <br /> A��licant Pcrmitce Signature Date Issued B�'Si�nature I)ate <br />