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1111111111110111111111 <br /> CITY OF ORONO * 2 0 1 5 - 0 1 2 1 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/21/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 4655 TONKAVIEW LA <br /> PIN 07-117-23-32-0064 <br /> LEGAL DESC REG.LAND SURVEY NO. 1036 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ESCROW FEE-TIED TO BUILDING PERMIT <br /> ACTIVITY 434-RESIDENTIAL <br /> NOTE: THIS$700 ESCROW IS TIED TO BUILDING PERMIT 2015-01163 <br /> APPLICANT ESCROW FEE-BUILDING 700.00 <br /> LICURSI,ANGELO&RACHEL Payment(s) TOTAL 700.00 <br /> 4655 TONKAVIEW LA CHECK 4211 700.00 <br /> MOUND,MN 55364- <br /> OWNER <br /> LICURSI,ANGELO&RACHEL <br /> 4655 TONKAVIEW LA <br /> MOUND,MN 55364- <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 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. <br /> Applicant Permitee Signature Date Issued By Signature Date <br />