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CITY OF ORONO * Z 0 1 6 - 0 1 1 9 � <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/26/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1285 FRENCH CREEK DR <br /> PIN : 10-117-23-32-0007 <br /> LEGAL DESC : FRENCH CREEK <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS$2�00 ESCROW IS T[ED TO BUILDING PERM[T 2016-01192 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> SOUTHVIEW DES[GN Payment(s) <br /> 2383 PILOT KNOB RD CHECK 35019 2,500.00 <br /> MENDOTA HEIGHTS, MN 55120- <br /> (651)203-3032 <br /> OWNER <br /> O'CONNELL&LYNNE RASUMSSEN, BRIAN <br /> 1285 FRENCH CREEK DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORIv 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 Quilding Code. This permit is for only the work described and does <br /> not grant permission tor additionai 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 /> commenccd within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer 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 /> / / <br /> Applicant Permitee Signature Date [ssued By Signature Date <br />