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� .� <br /> CITY OF ORONO * 2 0 1 6 - 0 0 2 5 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/18l2016 <br /> ORONO,MN 55356- <br /> 952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1025 SPRING HILL RD <br /> PIN : 26-118-23-43-0005 <br /> LEGAL DESC : LJNPLATTED 26 118 23 <br /> : LOT 000 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: THIS$2500 ESCROW IS TIED TO BUILDING PERMIT NUMBERS 2016-00155,2015-01444,AND LAND USE APPLICAITON <br /> 15-3738 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> BOWLSBY,JOHN&CYNDY Payment(s) <br /> 1025 SPRING HILL ROAD CHECK 12701 2,500.00 <br /> WAYZATA,MN 55391- <br /> OWNER <br /> BOWLSBY,JOHN&CYNDY <br /> 1025 SPRING HILL ROAD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he 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 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 /> �equested 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 />