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� ,� CITY OF ORONO * 2 0 1 7 - 0 0 0 3 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OUi7/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1090 HERITAGE LA <br /> PIN : 10-117-23-13-0006 <br /> LEGAL DESC : FOXHILL <br /> : LOT 006 BLOCK 001 <br /> PERMIT 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 17-3900 <br /> APPLICANT ESCROW FEE-APPLICANT 700.00 <br /> TOTAL 700.00 <br /> LIPKIN,RAYMOND Payment(s) <br /> 161 FERNDALE AVE S CHECK 1280 700.00 <br /> WAYZATA,MN 55391 <br /> OWNER <br /> LIPKIN,RAYMOND <br /> 161 FERNDALE AVE S <br /> WAYZATA,MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed acwrding 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 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 will <br /> expire and become null and void if construction suthorized 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 time atter 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 />