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CITY OF ORONO 111.11111 HMI MI 11 II I 11111. <br /> 2750 KELLEY PARKWAY * z 0 1 6 - 0 0 9 6 <br /> DATE ISSUED: 08/01/20162016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2120 WAYZATA BLVD W <br /> PIN : 34-118-23-24-0001 <br /> LEGAL DESC : UNPLATTED 34 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS ESCROW IS TIED TO DEMOLITION PERMIT 2016-00905 <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> TOTAL 2,500.00 <br /> ERICKSON,BRAD Payment(s) <br /> 2486 BOBOLINK RD CHECK 5047 2,500.00 <br /> MEDINA,MN 55356- <br /> (612)490-2371 <br /> OWNER <br /> ERICKSON,BRAD <br /> 2486 BOBOLINK RD <br /> MEDINA,MN 55356- <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 />