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CITY OF ORONO * Z 0 1 7 - 0 0 4 9 6 * <br /> 2750 KELLEY PARKWAY DATE [SSUED: 05/15/2017 <br /> . ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2040 SPATES AVE ` ' �� k- �� � f _ <br /> PIN : 10-117-23-31-0090 `"�t-�c <br /> LEGAL DESC : ORA PARK ON LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: ESCROW FOR TEMPORARY C.O.-PA[D BY: SUSAN DAMMEN-CK#105 -$7,500.00 <br /> APPLICANT ESCROW FEE-APPLICANT 7,500.00 <br /> TOTAL 7,500.00 <br /> DAMMEN, SUSAN Payment(s) <br /> 2040 SPATES AVE CHECK 105 7,500.00 <br /> WAYZATA, MN 55391- <br /> OWNER <br /> DAMMEN, SUSAN <br /> 2040 SPATES AVE <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shail 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 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 inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. �f r <br /> i � <br /> �' � O�c`IUf�1�Qr(1 � ' ���I �_ �. ,,���v r� j� �� —� <br /> Applicant Permitee Signature Date Issued By Sign ture Date <br />