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CITY OF ORONO * Z 0 1 5 - 0 0 1 8 9 * <br /> � _ . . 2750 KELLEY PARKWAY DATE ISSUED: 02/12/2015 ` <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1125 HLTNTER DR <br /> PIN : 25-118-23-31-0004 <br /> LEGAL DESC : TEN OAKS <br /> : LOT 002 BLOCK 001 <br /> PERMTT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$700 ESCROW IS TIED TO ZONING PERMIT APPLICATION#15-3718 <br /> APPLICANT ESCROW FEE-APPLICANT 700.00 <br /> ESCROW FEE-DEVELOPER 0.00 <br /> PERRY,CHRISTOPHER TOTAL 700.00 <br /> 1125 HUNTER DR Payment(s) <br /> WAYZATA,MN 55391 CHECK 7955 700.00 <br /> OWNER <br /> PERRY,CHRISTOPHER <br /> 1125 HUNTER DR <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 pertnit is for only the work described and does <br /> not grant permission for additional or related work which requires sepuate <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 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 />