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4111 CITY OF ORONO 11111110111311111111111111 <br /> I I I I II <br /> * 20 1 6 - 00697 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/16/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2300 WILLOW HILL DR <br /> PIN : 03-117-23-32-0026 <br /> LEGAL DESC : WILLOW HILL <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 /> NOTE: THIS$2500 ESCROW IS TIED TO BUILDING PERMIT 2016-00599 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> SHAH&NIMA DESAI,NIHAR TOTAL 2,500.00 <br /> Payment(s) <br /> 2300 WILLOW HILL DR <br /> LONG LAKE,MN 55356- CHECK 5402 2,500.00 <br /> OWNER <br /> SHAH&NIMA DESAI,NIHAR <br /> 2300 WILLOW HILL DR <br /> LONG LAKE,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 />