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` � 4 CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 7 - 0 0 8 3 7 * <br /> DATE ISSUED: 07/19/201'7 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 3465 SHORELINE DR <br /> PI1V : 20-117-23-12-0033 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1422 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$700 ESCROW IS TIED TO ZONING APPLICATION 17-3961 PAID BY IRIE AGENCY CHECK#2999 <br /> APPLICANT ESCROW FEE-APPLICANT 700.00 <br /> Shoreline Center TOTAL 700.00 <br /> REALTl'LLC,NAVARRE Payment(s) <br /> CHECK 2999 700.00 <br /> PO BOX 3 <br /> MINNETONKA BEACH,MN 55361- <br /> OWNER <br /> Shoreline Center <br /> REALTY LLC,NAVARRE <br /> PO BOX 3 <br /> MINNETONKA BEACH,MN 55361- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved pians and specifications,applicable Ciry 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.l'his permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within I80 days of the date of issuance,or if construction is <br /> suspended for a period of 1 SO 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 />