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� '� CITY OF ORONO * 2 0 1 5 - 0 0 7 4 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/09/2015 <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: ESCROW FOR NEW HOME PERMIT#2015-00719,PAID BY INTERNATIONAL MINISTERIAL FELLOWSHIP CK#22296-$2,500.00 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> International Ministerial Fellowshi Payment(s) <br /> P.O.BOX 100 CHECK 22296 2,500.00 <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 /> The work for which this pecmit 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 perrr►ission 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 hercin.This permit will <br /> expire and become null and void if construction authorized 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 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. /�-0�/ <br /> :` <br /> �� �,�,-,d 6', cr .! � 0 �i � i/ <br /> licant Permitee Sign re Date Issued By Signature Date <br />