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CITY OF ORONO * z p� 1 5 - 0 0 8 0 7 * <br /> � � : ' 2750 KELLEY PARKWAY DATE ISSUED: 06/22/2015 <br /> • • ORONO,MN 55356- <br /> • 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 405 NORTH ARM DR <br /> PIN : 06-117-23-32-0003 <br /> LEGAL DESC : UNPLATTED 06 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$2500 ESCROW IS TIED TO DEMOLITION PERMIT-2015-00428 <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 , <br /> TOTAL 2,500.00 <br /> NYEN COMPANIES LLC Payment(s) <br /> 3480 COUNTY RD 21 CHECK 4121 2,500.00 <br /> MAYER,MN 55360- <br /> (952)955-2955 <br /> OWNER <br /> Source Land Capital <br /> 18215 45TH AVE N, STE D <br /> PLYMOUTH,MN 55446- <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 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 wiil <br /> expire and become null and void if construc[ion 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 aze <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 />