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CITY OF ORONO ji 121 if 111 U�I I1 f 1,111 111 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/18/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 40 ORONO ORCHARD RD N <br /> PIN : 35-118-23-34-0005 <br /> LEGAL DESC ORONO OAKS <br /> LOT 009 BLOCK 001 <br /> PERMIT TYPE ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW FOR DEMO PERMIT#2016-00658-PAID BY:OWNER:JULIA SHAVER-CK#784-$2,500.00 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> KLEMA&JULIA SHAVER,DAVID Payment(s) <br /> 40 ORONO ORCHARD RD N CHECK 784 2,500.00 <br /> WAYZATA,MN 55391- <br /> OWNER <br /> KLEMA&JULIA SHAVER,DAVID <br /> 40 ORONO ORCHARD RD N <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SW4'JRN STATEMENT <br /> The work for which this permit is issued hall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for o ly the work described and does <br /> not grant permission for additional or rel ed work which requires separate <br /> permits. All provisions of laws and ordin ces governing this type of work <br /> shall be compied with whether or not s <br /> pe} <br /> herein.This permit will <br /> expire and become null and void if cons ction authorized is not <br /> commenced within 180 days of the date issuance,or if construction is <br /> suspended for a period of 180 days at an time after work has commenced. <br /> The applicant is responsible for assuring 411 required inspections are <br /> requested in conformance with the State guilding Code.This permit may be <br /> revoked at any time for due cause. <br /> G� <br /> /9,_.LA-- 1% `7 / /IS / /e,Applicant Permitee Signature Date Issued By Sign �ire Date <br />