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CITY OF ORONO 1 I II I I I <br /> 2750 KELLEY PARKWAY * 2 1 8 - 0 0 1 5 <br /> DATE ISSUED: 02J221 <br /> 2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2697 CASCO POINT RD <br /> PIN : 20-117-23-23-0004 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.265 <br /> : LOT 004 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$700 ESCROW IS TIED TO ZONING APPLICATION LAI8-000019 PAID BY MARK D.WILLIAMS CC 5074 <br /> APPLICANT ESCROW FEE-APPLICANT 700.00 <br /> MARK D.WILLIAMS CUSTOM HOMES,INC. TOTAL 700.00 <br /> Payment(s) <br /> P.O.BOX 268 <br /> EXCELSIOR,MN 55331- CREDIT CARD 5074 700.00 <br /> (612)251-9750 <br /> Minnesota State License#:BUIL-BC494403 <br /> OWNER <br /> ENGER,MARY&MARK <br /> 2697 CASCO PT RD <br /> WAYZATA,MN 55391- <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 does <br /> not grant permission for additional or related work which requires separate <br /> permits. All 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 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 /> Applicant Permitee Signature Date Issued By Signature Date <br />