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CITYOFORONO * 20 15 - PJ0466 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/22/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 300 SIXTH AVE N <br /> PIN : 25-118-23-41-0001 <br /> LEGAL DESC : UNPLATTED 25 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$10,000 ESCROW IS TIED TO ZONING APPLICATION#15-3739 <br /> APPLICANT ESCROW FEE-APPLICANT 10,000.00 <br /> ESCROW FEE-DEVELOPER 0.00 <br /> DAYTON, DOUGLAS <br /> 300 SIXTH AVE N TOTAL 10,000.00 <br /> WAYZATA, MN 55391- Payment(s) <br /> CHECK 1619 10,000.00 <br /> OWNER _ <br /> DAYTON, DOUGLAS � l(J �S��� <br /> 300 SIXTH AVE N � <br /> WAYZATA, MN 55391- <br /> v <br /> AGREEMENT A1vD 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 applican[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 time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />