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` ^� CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 7 - 0 1 0 5 2 * <br /> DATE ISSUED: 08✓3U2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2725 SHADYWOOD RD <br /> PIN : 21-117-23-24-0004 <br /> LEGAL DESC : PHEASANT LAWN <br /> : LOT 026 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS$2500 ESCROW IS TIED TO BUILDING PERMIT 2017-01051 PAID FOR BY MICHAEL MEEK CHECK# 1075 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> MEEK,MICHAEL&ROBERTA TOTAL 2,500.00 <br /> 2725 SHADYWOOD RD Payment(s) <br /> CHECK 1075 2,500.00 <br /> EXCELSIOR,MN 55331- <br /> OWNER <br /> MEEK,MICHAEL&ROBERTA <br /> 2725 SHADYWOOD RD <br /> EXCELSIOR,MN 55331- <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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinacices governing this type of work <br /> sha►I 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 aze <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 />