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CITY OF ORONO I I � i'� I 1 I 1 1 11 <br /> 2750 KELLEY PARKWAY * 2 1 7 - 0 0 3 1 <br /> DATE ISSUED: 03/3U22 017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 585 ORCHARD PARK RD <br /> PIN : 31-118-23-14-0001 <br /> LEGAL DESC : UNPLATTED 31 118 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$7500 ESCROW IS TIED TO 2016-01180 FOR A TEMPORARY CERTIFICATE OF OCCUPANCY <br /> APPLICANT ESCROW FEE-APPLICANT 7,500.00 <br /> TJB HOMES INC TOTAL 7,500.00 <br /> 9100 BALTIMORE STREET NE Payments) <br /> SUITE#102 CHECK 057965 7,500.00 <br /> BLAINE,MN 55449- <br /> (763)780-2944 <br /> Minnesota State License#:BUIL-1845 <br /> OWNER <br /> MALLAK,MICHAEL&SARAH <br /> 585 ORCHARD PARK RD <br /> LONG LAKE,MN 55356- <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 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 applicant 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 /> , - 3 /3 t/ <br /> Applicant Permitee Signature Date Issued Byature Date <br />