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. i <br /> CITY OF ORONO * Z 0 1 6 - 0 1 2 6 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/OS/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1180 HERITAGE LA <br /> PIN : 10-117-23-13-0002 <br /> LEGAL DESC : FOXHILL <br /> : LOT 002 BLOCK 001 <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 ZONING PERMIT 2016-01265 <br /> APPLICANT ESCROW FEE-BUILD[NG 2,500.00 <br /> TOTAL 2,500.00 <br /> ZIEGLER&KELLY RISCHE,DAVID Payment(s) <br /> 1180 HERITAGE LA CHECK 3693 2,500.00 <br /> WAYZATA, MN 55391- <br /> OWNER <br /> ZIEGLER& KELLY RISCHE, DAVID <br /> 1180 HER[TAGE LA <br /> WAYZATA,MN 55391- <br /> AGREEMEIVT 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 pennission 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 wili <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 permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />