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�` `�' CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 7 — 0 PJ 6 8 7 * <br /> DATE ISSUED: 06/22/2017 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1760 SHORELINE DR <br /> PIN : 10-117-23-14-0017 <br /> LEGAL DESC : N/A <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 17-3950 PAID BY MICHAEL KUHLMAN <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> TOTAL 2,500.00 <br /> Woodhouse Shoreline LLC Payment(s) <br /> 600 HIGHWAY 169 S#701 CHECK 5047 2,500.00 <br /> MINNEAPOLIS,MN 55426- <br /> OWNER <br /> Woodhouse Shoreline LLC <br /> 600 HIGHWAY 169 S#701 <br /> MINNEAPOLIS,MN 55426- <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 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 construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 1 SO days at any time after work has commenced. <br /> The applicant is responsible for assuring alI 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 Perrr►itee Signature Date Issued By Signature Date <br />