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� CITY OF ORONO <br /> � 2750 KELLEY PARKWAY * 2 0 1 7 — 0 1 0 4 6 * <br /> 1 DATE ISSUED: 08/31/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952 249-4616 <br /> ADDRESS : 4240 NORTH SHORE DR <br /> PIN : 07-117-23-43-0014 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 000 BLOCK 014 <br /> PERMTT TYPE : ESCROW FEE-TIED TO BUII.,DING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUII..DING PERNIIT <br /> NOTE: THIS$700 ESCROW IS'TIED TO BUILDING PERMIT 2017-01029 PAID BY PETER SCHWARZKOPF CHECK#1096 <br /> APPLICANT ESCROW FEE-BUILDING 700.00 <br /> SCHWARZKOPF,PETER&JENNIFER TOTAL 700.00 <br /> Payment(s) <br /> 4240 NORTH SHORE DR CHECK 1096 700.00 <br /> MOUND,NIN 55364 <br /> OWNER , <br /> SCHWARZKOPF,PETER&JENNIFER <br /> 4240 NORTH SHORE DR <br /> MOUND,MN 55364 <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 dces <br /> not grant permission for additional or related work which requ'ves 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 /> 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 are <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 />