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� � CITY OF ORONO <br /> R 2750 KELLEY PARKWAY * 2 0 1 6 — 0 0 2 6 9 * <br /> DATE ISSUED: 03/22/2016 <br /> ORONO,MN 55356- <br /> (952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 2560 KELLY AVE <br /> p� : 20-117-23-11-0007 <br /> LEGAL DESC : REG.LAND SURVEY NO.0088 <br /> : LOT 000 BLOCK 000 <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$7500 ESCROW IS TIED TO BUILDING PERMIT 2015-00719 FOR TEMPORARY CERTIFICATE OF OCCUPANCY <br /> APPLICANT ESCROW FEE-BUILDING 7,500.00 <br /> TOTAL 7,500.00 <br /> International Ministerial Fellowshi Payment(s) <br /> P.O.BOX 100 CHECK 36811 7,500.00 <br /> NAVARRE,MN 55392- <br /> OWNER <br /> International Ministerial Fellowshi <br /> P.O.BOX 100 <br /> NAVARRE,MN 55392- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he 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 dces <br /> not gru►t permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This pertnit 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 construcrion 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 />