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� <br /> 1 : : . : CITY OF ORONO * Z 0 1 7 — fd 0 5 2 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/19/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2710 PENCE LA <br /> PIIY : 21-117-23-23-OOSI <br /> LEGAL DESC : CARMAN BAY HEIGHTS <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> COIVSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$10,000 ESCROW IS TIED TO ZONING APPLICATION 17-3945 PAID BY WILLIAM DUNKLEY <br /> �� 3��6� <br /> �� �j� Zb <br /> ('l 3� �l I <br /> APPLICANT ESCROW FEE-APPLICANT 10,000.00 <br /> TOTAL 10,000.00 <br /> DUNKLEY, WILLIAM& SUE Payment(s) <br /> 3405 ANNAPOLIS LANE N#100 CHECK 13107 10,000.00 <br /> PLYMOUTH, MN 55447- <br /> OWNER <br /> DUNKLEY, WILLIAM& SUE <br /> 3405 ANNAPOLIS LANE N#100 <br /> PLYMOUTH,MN 55447- <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,applicab►e 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 l80 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 />