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aL <br /> � w <br /> I <br /> � CITY OF ORONO * z p� 1 4 - 0 0 0 7 1 * <br /> 2750 KELLEY PARKWAY DAT ISSUED: OU22/2014 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 568 KEENE AVE <br /> PIN : 02-117-23-31-0042 I <br /> LEGAL DESC : MINNETONKA BLUFFS �I <br /> : LOT 000 BLOCK 016 ' <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYP : RESIDENTIAL <br /> CONSTRUCTIO TYPE : ESCROW FEE-APPLICANT i <br /> NOTE: THIS$700 SCROW IS TIED TO ZONING PERMIT APPLICATION#14-3650 <br /> APPLICANT ESCROW FEE-APPLICANT 700.00 <br /> ESCROW FEE-DEVELOPER 0.00 <br /> DAVIDSON,DON LD&JOANNE <br /> TOTAL 700.00 <br /> 568 KEENE AVE. Payment(s) <br /> WAYZATA,MN 5 391- CHECK 4107 � 700.00 <br /> OWNER <br /> DAVIDSON,DON�ILD&JOANNE <br /> 568 KEENE AVE. ' <br /> WAYZATA,MN 55391- <br /> AGREEME T AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and pecifications,applicable City approvals,and the I <br /> State Building Code. T is permit is for only the work described and does <br /> not grant permission for additional or related work which requires sepazate , <br /> permits. All provisions f laws and ordinances goveming this rype of work <br /> shall be compied with hether or not specified herein.This permit will <br /> expire and become null d void if construction authorized is not : <br /> commenced within 180 ays of the date of issuance,or if construction is <br /> suspended for a period 180 days at any time after work has commenced. j <br /> The applicant is respons'ble for assuring all required inspec[ions aze <br /> requested in conforman e with the State Building Code.This permit may be <br /> revoked at any time for ue cause. <br /> / / <br /> Applicant Permitee S gnature Date Issued By Signature Date <br />