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. , <br /> .-. , CITY OF ORONO * 2 0 1 6 — 0 0 4 4 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/2'7/2016 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3414 LIVINGSTON AVE <br /> PIN : 17-117-23-43-0023 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: T'HIS$2500 ESCROW IS TIED TO BUILDING PERMIT 2016-00420 AND ZONING PERMIT 16-3801 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> BORG,CARL&CAREN Payment(s) <br /> 3414 LIVINGSTON AVE CHECK 12930 2,500.00 <br /> WAYZATA,MN 55391- <br /> OWNER <br /> BORG,CARL&CAREN <br /> 3414 LIVINGSTON AVE <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit is issued shall be performed according to <br /> the approved plans and specifications,appticable City approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant pertnission 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 permit will <br /> exp've and become null and void if construction authorized is not <br /> commenced wiU►in 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 peanit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />