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CITY OF ORONO I III I' I [ F �',II I II I <br /> • * 2016 - 00828 * <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 /> PERM TYPE ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROP TY TYPE : RESIDENTIAL <br /> CONS RUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: 'gSCROW FOR DEMO PERMIT#2016-00658-PAID BY:OWNER:JULIA SHAVER-CK#784-$2,500.00 <br /> 1 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> KLE &JULIA SHAVER,DAVID Payment(s) <br /> 40 OR NO ORCHARD RD N CHECK 784 2,500.00 <br /> WAY ATA,MN 55391- <br /> OWNER <br /> KLEIV A&JULIA SHAVER,DAVID <br /> 40 ORONO ORCHARD RD N <br /> WAYZATA,MN 55391- <br /> GREEMENT AND SWORN STATEMENT <br /> The w.rk for which this permit is issued shall be performed according to <br /> the ap.roved plans and specifications,applicable City approvals,and the <br /> State :uilding Code. This permit is for only the work described and does <br /> not 2 t permission for additional or related work which requires separate <br /> permi .. All provisions of laws and ordinances governing this type of work <br /> shall . compied with whether or not specified herein.This permit will <br /> expire d become null and void if construction authorized is not <br /> comm nced within 180 days of the date of issuance,or if construction is <br /> suspe •ed 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 /> reque ed in conformance with the State Building Code.This permit may be <br /> revoke. at any time for due cause. Pfi <br /> c <br /> 120c4 il Puuck 6 7 / / 6 /c, <br /> Appl ant Permitee Signature Date Issued By SignaMre Date <br />