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CITY OF ORONO * 2 0 1 5 — 0 1 3 1 5 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 10/09/2015 <br /> , ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1190 LOMA LINDA AVE <br /> PIN : 08-117-23-23-0003 <br /> LEGAL DESC : LJNPLATTED 08 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMTT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW TIED TO BUILDING PERMIT#2015-01206 FOR ADDITION/REMODEL PERMIT-PD BY:MARK MITCHELL VIA <br /> CASHIER'S CHECK#108506243-$700.00 <br /> APPLICANT ESCROW FEE-BUILDING 700.00 <br /> TOTAL 700.00 <br /> MITCHELL,MARK&ELIZABETH Payment(s) <br /> 1190 LOMA LINDA AVE CHECK 10850624 700.00 <br /> MOUND,MN 55364 <br /> OWNER <br /> MITCHELL,MARK&ELIZABETH <br /> 1190 LOMA LINDA AVE <br /> MOiJND,MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pern►it is issued shall be perfortned 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 grant permission for additional or related work which requires separate <br /> pern►its. 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 /> 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 aze <br /> requested in conformance with the State Building Code.This permit may be �f J� <br /> revoked at any time for due cause. ���V� <br /> � ` <br /> p °� c.��� �.��-t`S� � � � � � <br /> ppli t Perm e Si r ate Issued By Signature Date <br />