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CITY OF ORONO * z 0 1 6 - 0 P1 0 2 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU08/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> A�D �SS : 60 SMITH AVE <br /> PIN : 02-117-23-21-0003 <br /> LEGAL DESC : ORONO ORCHARDS <br /> : LOT 041 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: NO ADDITIONAL FEES WILL BE COLLECTED FOR THIS ESCROW ON BUILDING PERMIT#2016-00022,BECAUSE AN <br /> ESCROW FEE WAS COLLECTGD FOR THE LAND USE PERMIT#15-3772 AND CHR[STINE SAID THE MONEY COULD BE APPL[ED. <br /> APPLICANT ESCROW FEE-BUILDING 0.00 <br /> MILLER,ROBERT TOTAL 0.00 <br /> 60 SMITH AVE <br /> WAYZATA,MN 55391- <br /> OWNER <br /> MILLER,ROBERT <br /> 60 SMITH AVE <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 permission for additional or related work which requires separate <br /> permits. All provisions of Iaws 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 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 cequired 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 /> � �Y� <br /> 1 C� .>..t I��'�� f�__.�:�`� } / '� / <br /> �.1 �.kc`� ! r�. <br /> Applicant Permitee Signature Date Issued By Signature Date <br />