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. ' IIW11111_I�11W <br /> CITY OF ORONO * z a 1 4 — 0 fd 6 S 6 * <br /> ' � 2750 KELLEY PARKWAY nAT� 1ssuE�: 07/O1/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2501 KELLY AVE <br /> PIN : 20-117-23-12-0053 <br /> LEGAL DESC : KELLY COVE <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEF -APPLICANT <br /> '�'01�G: 'I�HIS$2,000 ESCROW IS TIGD TO"I.ONING APYLICAT[ON 2014-00677 <br /> APPLICANT ESCROW FEE-APPLICANT 2,000.00 <br /> ESCROW FEE- DEVELOPER 0.00 <br /> LINDGREN, BRENT TOTAL 2,000.00 <br /> 2501 KELLY AVE <br /> EXCELSIOR, MN 55331- Payment(s) <br /> CHECK 8907 2,000.00 <br /> OWNER <br /> LINDGREN, BRENT <br /> 2501 KELLY AVE <br /> EXCELSIOR, MN 55331- <br /> AGREEMENT AND SWORN STATEMENT <br /> l he wark for which[his permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. �Chis permit is for only the work described and does <br /> not grant permission for additional or relatcd 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 specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commcnced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer work has commenced. <br /> The applicant is responsibie for assurine all required inspections are <br /> requested in conformance with[he State Building Code.This pcmiit may be <br /> revoked at anv time for due causc. <br /> / / <br /> Applicant Permitee Signaturc Datc Issued By Signaturc Date <br />