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file <br /> CITY OF ORONO * 2 0 1 7 — 0 0 2 5 8 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/20/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)2494616 <br /> ADDRESS 660 TONKAWA RD <br /> PIN 05-117-23-33-0016 <br /> LEGAL DESC PARTENS POINT 1 ST DIV <br /> LOT 003 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$7500 ESCROW IS TIED TO BUILDING PERMIT 2016-00536 FOR A TEMPORARY CERTIFICATE OF OCCUPANCY <br /> APPLICANT ESCROW FEE-BUILDING 7,500.00 <br /> LADD&CAROL STAINBROOK,MICHAELTOTAL 7,500.00 <br /> 660 TONKAWA RD Payments) <br /> LONG LAKE,MN 55356- CHECK 7129 7,500.00 <br /> OWNER <br /> LADD&CAROL STAINBROOK,MICHAEL <br /> 660 TONKAWA RD <br /> LONG LAKE,MN 55356- <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 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 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 /> Applicant Permitee Signature Date Issued By Signature Date <br />