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r <br /> CITY OF ORONO * 2 0 1 5 - 0 1 5 6 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/16/2015 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1830 SHORELINE DR <br /> PIN : 10-117-23-42-0002 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.356 <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 16-3803 <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> TOTAL 2,500.00 <br /> STONEWOOD,LLC Payment(s) <br /> 153 E LAKE STREET CHECK 13853 2,500.00 <br /> WAYZATA,MN 55391- <br /> (612)462-4000 <br /> Minnesota State License#:BUIL-BC594315 <br /> OWNER <br /> TUFFA,TASHITTA <br /> 1830 SHORELINE DRIVE <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned 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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this rype of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if constrvction 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 Perrrâ–ºitee Signature Date Issued By Signature Date <br />