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� `'"� CITY OF ORONO <br /> * 2 0 1 5 - 0 1 2 2 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/22/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3548 IVY PL <br /> PIN : 20-117-23-42-0017 <br /> LEGAL DESC : TAYLORS SUBD OF SPRING PARK LO <br /> : LOT 174 BLOCK 000 <br /> PERMTT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$2500 ESCROW IS TIED TO ZONING APPLICATION#15-3788 <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> TOTAL 2,500.00 <br /> PELLETIER,CHRISTOPHER Payment(s) <br /> 3548 IVY PL CHECK 6290 2,500.00 <br /> WAYZATA,MN 55391- <br /> OWNER <br /> PELLETIER,CHRISTOPHER <br /> 3548 IVY PL <br /> WAYZATA,MN 55391- <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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified hereia 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 I80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />