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� � CITY OF ORONO * 2 0 1 5 - 0 0 6 3 4 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: OS/20/2015 <br /> . ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1990 SHADYWOOD RD <br /> PIh : 17-117-23-24-0027 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 040 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: ESCROW FOR VARIANCE APPLICATION#15-3750-PD BY:JEFF VONFELDT CK#5055 <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> TOTAL 2,500.00 <br /> VONFELDT&ELAINE WYATT,JEFF Payment(s) <br /> 1990 SHADYWOOD RD CHECK 5055 2,500.00 <br /> WAYZATA, MN 55391- <br /> OWNER <br /> VONFELDT&ELAINE WYATT,JEFF <br /> 1990 SHADYWOOD 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 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 /> . , <br /> ,s..-__�, � ��� �� ��. � ���t �-� � � :��� �� <br /> A �l' it Si n u e � Date Issued By Signature Date <br /> �;%. <br />