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� � CITY OF ORONO * Z 0 1 5 - 0 0 6 4 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/2U2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1105 BROWN RD S <br /> PIN : 10-117-23-24-0004 <br /> LEGAL DESC : LTNPLATTED 10 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$2500 ESCROW IS TIED TO ZONING APPLICATION 15-3751 <br /> APPLICANT ESCROW EEE-APPLICANT 2,500.00 <br /> ESCROW FEE-DEVELOPER 0.00 <br /> NORTON HOMES TOTAL 2,500.00 <br /> 18215 45TH AVE N, STE D Payment(s) <br /> PLYMOUTH,MN 55446- CHECK 13580 2,500.00 <br /> (612)386-7661 <br /> Minnesota State License#: BUIL-20514630 <br /> OWNER <br /> CHRISTENSON,JERRY <br /> 1105 BROWN RD S <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 celated work which requires sepazate <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 /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />