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CITY OF ORONO * z 0 1 6 - 0 1 5 1 PJ * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/OU2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3444 NORTH SHORE DR <br /> PIN �� : 08-117-23-43-0022 <br /> LEi.AL DESC : LYDIARDS PARK LAKE MTKA <br /> : LOT 017 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: ESCROW FOR ZONING PERMIT#2016-01459-PA[D BY:DEBORAH LUMENDAL-CK#6025-$700.00(CHECK ALSO <br /> [NCLUDED$50.00 FOR SHED PERMIT) <br /> APPLICANT ESCROW FEE-APPLICANT 700.00 <br /> LUMENDAL,DEBORAH TOTAL 700.00 <br /> 3444 NORTH SHORE DR Payment(s) <br /> WAYZATA, MN 55391- CHECK 6025 700.00 <br /> OWNER <br /> LUMENDAL, DEBORAH <br /> 3444 NORTH SHORE DR <br /> WAYZATA, MN 55391- <br /> AGREEMEIYT AIYD 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 Bui(ding 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. Ail provisions of laws and ordinances governing 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 l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all re ired inspections are <br /> request�in conformance with the te Bu'ding'Code.This permit may be <br /> revoked at`�ny time for due cause. 1 ' <br /> 1 ., �, L- �`% '� �-� � <br /> -» ���-'1 � -�-f � , ( ,/(�r <br /> Applicant Permitee ig ature Date — Issued By Signature Date <br />