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� � <br /> CITYOFORONO * 2014 - 00360 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/24/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2420 DUNWOODY AVL' <br /> PIN : 20-117-23-21-0018 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 001 BLOCK 007 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RELIGIOUS <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: "I�IIIS$700�SCROW 1S�I'11�,D�I�O LAN US1�nPPICATION#14-3671 <br /> APPLICANT ESCROW FEE-APPLICANT 700.00 <br /> ESCROW FEE-DEVELOPER 0.00 <br /> Calvary Memorial Church <br /> 2420 DUNWOODY AVE TOTAL 700.00 <br /> WAYZATA, MN 55391- Payment(s) <br /> CHECK 11906 700.00 <br /> OWNER <br /> Calvary Memorial Church <br /> 2420 DUNWOODY AVE <br /> WAYZAI�A, MN 55391- <br /> AGREEMF.NT AND SWORN STATEMENT <br /> I�he work for which this permit is issued shall be performed according to <br /> thc approved plans and specitications,applicable City approvals,and thc <br /> State Quilding Code. 'fhis permit is for only the work described and docs <br /> not grant pern�ission for additional or related work which requires separatc <br /> permits. All provisions of laws and ordinances govcming[his type of work <br /> shall be compied with whether or not specitied herein.'fhis 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 atter work has commenced. <br /> "The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State[3uilding Code.This permit may be <br /> revoked at any time tbr due cause. <br /> / / <br /> Applicant Permitce Si�naturr Date Issued i3y Signature Date <br />