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.. . CITY OF ORONO * 2 0 1 7 - 0 0 3 9 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/20/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 905 FERNDALE RD W <br /> PIN : 02-117-23-44-0032 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 184 <br /> : LOT MB BLOCK MB <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 17-3937-PAID BY BLACK BEAR BUILDERS <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> TOTAL 2,500.00 <br /> BROOKS,JOHN&JOAN Payment(s) <br /> 905 FERNDALE RD W CHECK 12320 2,500.00 <br /> WAYZATA,MN 55391- <br /> OWNER <br /> BROOKS,JOHN&JOAN <br /> 905 FERNDALE RD W <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 pertnission for additional or related 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 I80 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 />