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: � CITY OF ORONO * Z 0 1 6 - 0 0 5 5 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/19/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1991 FAGERNESS POINT RD <br /> PIN : 18-117-23-41-0001 <br /> LEGAL DESC : FAGERNESS <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPL[CANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$700 ESCROW IS TIED TO ZONING PERMIT 16-3835 <br /> APPLICANT ESCROW FEE-APPLICANT 700.00 <br /> TOTAL 700.00 <br /> MILLIREN,GUY&SALLY Payment(s) <br /> 1991 FAGERNESS PT RD CHECK 12816 700.00 <br /> WAYZATA, MN 55391 <br /> OWNER <br /> MILLIREN,GUY&SALLY <br /> 1991 FAGERNESS PT RD <br /> WAYZATA, MN 55391 <br /> AGREEMEIYT AND SWORN STATEMEIVT <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 l80 days of the date of issuance,or if construction is <br /> suspended for a period of I80 days at any time after work has commenced. <br /> The applicant is responsible for assuring alI required inspections are <br /> requested in conformance with[he 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 />