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CITY OF ORONO J. * 2 0 1 4 - 0 1 3 7 1 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1 V25/2014 <br /> ORONO, MN 55356- <br /> 952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 520 TONKAWA RD <br /> PIN 05-117-23-32-0005 <br /> LEGAL DESC REG. LAND SURVEY NO. 1305 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE ESCROW FEE-OTHER <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ESCROW FEE-OTHER <br /> NOTE: THIS$4300.00 ESCROW IS TIED TO ZONING PERMIT APPLICATION 2014-01285 AND INCLUDES 520,550 AND 630 TONKAWA <br /> ROAD <br /> APPLICANT ESCROW FEE-OTHER 4,300.00 <br /> TOTAL 4,300.00 <br /> Tonkawa, Inc. Payment(s) <br /> TWO CARLSON PARKWAY#475 CHECK 34081 4,300.00 <br /> PLYMOUTH,MN 55447- <br /> OWNER <br /> Tonkawa,Inc. <br /> TWO CARLSON PARKWAY#475 <br /> PLYMOUTH,MN 55447- <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 /> Applicant Permitee Signature Date Issued By Signature Date <br />