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''' � " CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 6 — 0 1 3 3 4 * <br /> DATE ISSUED: 10/19/2016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 225 OLD CRYSTAL BAY RD N <br /> PIN : 33-118-23-31-0007 <br /> LEGAL DESC : LJNPLATTED 33 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS 52500 ESCROW IS TIED TO DEMOLITION PERMIT 2016-01333 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> Pali Holdings LTD Pa ment s TOTAL 2,500.00 <br /> CAMERON,PAUL y � � <br /> 11578 CHAMBERLAIN CT CHECK 3456 2,500.00 <br /> EDEN PRAIRIE,MN 55346- <br /> OWNER <br /> Pali Holdings LTD <br /> CAMERON,PAUL � <br /> 11578 CHAMBERLAIN CT <br /> EDEN PRAIRIE,MN 55346- <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 Ciry 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 witti whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within t SO 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. , <br /> `�-�i ro ��9 � /� <br /> Applicant Permitee Signature Date I sued By gnature Date <br />