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CITY OF ORONO <br /> * 20 1 7 - 0 0 6 66 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/1112017 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 865 WINDJAMMER LA <br /> PIN : 07-117-23-12-0028 <br /> LEGAL DESC : PIRATES COVE <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$2,000 ESCROW IS TIED TO ZONING PERMIT APPLICATION 2017-00665 PAID BY DANIEL CUMMINGS <br /> APPLICANT ESCROW FEE-APPLICANT 2,000.00 <br /> TOTAL 2,000.00 <br /> CUMMINGS,DANIEL&MARTHA Payment(s) <br /> 865 WINDJAMMER LA CHECK 6186 2,000.00 <br /> MOUND, MN 55364- <br /> OWNER <br /> CUMMINGS,DANIEL&MARTHA <br /> 865 WINDJAMMER 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 />