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CITY OF ORONO <br /> , , � � * 2 0 1 7 - 0 0 6 3 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/13/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1150 PINE VIEW DR <br /> PIN : 28-118-23-42-0009 <br /> LEGAL DESC : PINE VIEW <br /> : LOT 3 BLOCK 1 <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$2500 ES�ROW IS TIED TO BUILDING PERMIT 2017-00482 AND DEMO PERMIT 20U-00632 PAID BY DAVID WOHLWEND <br /> AIPPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> WOHLWEND,DAVID Payment(s) <br /> 4526 BLUEBELL TRAII.S CHECK 1040 2,500.00 <br /> MEDINA,MN 55340- <br /> z�4JU Ke11Cy f'di KN'�� <br /> OWNER Orono MN 55356 952-249-46uu <br /> WOHLWEND,DAVID Rer,eipt No: 3.018439 Jun 13, 2017 <br /> 4526 BLUEBELL TRAIL S <br /> MEDINA,MN 55340- <br /> Ddvid & Megan Wohlwend <br /> Previou� Balance: .00 <br /> AGREEMENT AND SWORN STATEMENT Permi ts <br /> The work for which this permit is issued shall be performed according to 1150 Pine View Drive 2,500.00 <br /> the approved plans and specificetions,applicable City approvals,and the �Q�-22z05 <br /> State Building Code. This permit is for only the work described and dces De ferred Rev-Developer [)eposl t <br /> not grant permission for additional or related work which requires separate _______________ <br /> permits. All provisions of laws 8nd ordinances governing this type of work 2,500.00 <br /> shall be compied with whether or not specified herein.This permit will TOt81: <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 Check <br /> suspended for a period of 180 days at any time after work has commenced. CheCk No: 1040 2,500.00 <br /> The applicant is responsible for assuring all required inspections are pM.��r, <br /> requested in conformance with t6e State Building Code.This permit may be <br /> ; µ�_ ..,�. r�..i.ir..,.,,�� <br /> revoked at any time for due cause. " ' <br /> , ,. , , . .. , <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />