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INHUNIMM <br /> CITY OF ORONO * 2017 - 00028 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/12/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 540 WILLOW DR S <br /> PIN : 03-117-23-32-0018 <br /> LEGAL DESC : N/A <br /> LOT 002 BLOCK 001 <br /> PERMIT TYPE ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW FOR NEW HOME#2017-00026-PAID BY:SISTER ELIZABETH&GRAHAM me—CK#5373-$2,500.00. THEY <br /> KNOW MONEY WILL BE REFUNDED TO CURRENT OWNER LAURA BOHLANDER. INITIAL <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> MERRY,ELIZABETH&GRAHAM Payment(s) <br /> 3750 HUNTINGTON AVE CHECK 5373 2,500.00 <br /> ST.LOUIS PARK,MN 55416- <br /> OWNER <br /> BOHLANDER,LAURA <br /> 2260 FOX ST <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 t' a for due cause. <br /> 7:pp1t'6Rl1t Permi ee Kigiiature Date IssuedvBy Signature Date <br />