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, ._ CITY OF ORONO * z ID 1 4 - e 0 8 7 1 * � <br /> 2750 KELLEY PARKWAY DATE ISSUED: 0 8/1 2/2 0 1 4 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3286 NAVARRE LA <br /> pIN : 17-117-23-44-0109 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <br /> : LOT 000 BLOCK 000 <br /> PERNIIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$2,000.00 ESCROW IS'I�D TO ZOrTING PERMIT-201400813 <br /> , <br /> APPLICANT ESCROW FEE-APPLICANT 2,000.00 <br /> DAHL,GRACE MARIE ESCROW FEE-DEVELOPER 0.00 <br /> 3286 NAVARRE LA TOTAL 2,000.00 <br /> WAYZATA,MN 55391- Payment(s) <br /> CHECK 3502 2,000.00 <br /> City of Orono I <br /> OWNER 2750 Kelley Parkway <br /> Orono MN 55356 952-249-4600 <br /> DAHL,GRACE MARIE Receipt No: 3.011522 Aug 12, 2014 <br /> 3286 NAVARRE LA i <br /> WAYZATA,MN 55391- Grace Dahl ! <br /> � <br /> Previous Balance: � <br /> Permits '�� I <br /> 2014-00871 3286 Navarre 2,000.00 ' <br /> AGREEMENT AND SWORN STATEMENT Lane ; <br /> 101-22205 <br /> The work for which this permit is issued shal!be performed according to Deferred Rev-Developer Deposi t i <br /> the approved plans and specifications,applieable City approvals,and the --------------- � <br /> State Building Code. 1'his permit is for only the work described and dces Totel: 2,000.00 <br /> --------------- ' <br /> " not grant permission for additional or related work which requires separate -""---------- <br /> rmits. All rovisions of laws and ordinances overnin this Check <br /> Pe P g g rypeofwork Check No: 3502 2,000.00 <br /> shall be compied with whether or not specified herein.This permit wiil Payor: <br /> expire and become null and void if construction authorized is not Grace Dahl <br /> commenced wiffiin 180 days of the date of issuance,or if construction is Totel Appl led: 2,000.00 <br /> suspended for a period of 180 days at any time after work has commenced. --------------- � <br /> The applicant is responsible for asswing all required inspections are Change Tendered: .00 <br /> requested in conformance with the State Building Code.This permit may be p$/�2�2U14 08:28AM <br /> revoked at any time for due cause. � <br /> I <br /> / / <br /> Apphcant Perautee Signature Date Issued By Signature Date <br />