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f � i � <br /> � CITY OF ORONO * 2 0 1 6 - 0 0 6 6 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/10/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1070 HUNTER DR <br /> PIN : 25-118-23-42-0008 <br /> LEGAL DESC : MOONEY LAKE PRESERVE <br /> : LOT 3 BLOCK 2 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> ACTIVITY . <br /> NOTE: THIS$2500 ESCROW IS TIED TO BUILDING PERMIT#2016-00589 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> GRONHOLZ, SCOTT&AMY Payment(s) <br /> 2008 SUGARWOOD DRIVE CHECK 4233 2,500.00 <br /> ORONO,MN 55356- <br /> OWNER <br /> GRONHOLZ,SCOTT&AMY <br /> 2008 SUGARWOOD DRIVE <br /> ORONO,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed acwrding to <br /> the approved plans and specifications,applicable City approvals,and the <br /> Sta[e 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 ordinances goveming 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 inspec[ions 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 />