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� � - • CITY OF ORONO * 2 0 1 5 - e 0 1 0 7 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 0]/23/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 681 SANDSTONE CIR <br /> PIN : 33-118-23-11-0042 <br /> LEGAL DESC : STONEBAY <br /> : LOT 039 BLOCK 001 <br /> PERMTT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOT'E: THIS$2500 ESCROW IS TIED TO 2015-00106 <br /> 681 AND 683 SANDSTONE CIRCLE <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> ESCROW FEE-EROSION CONTROL 0.00 <br /> STONEBAY BUILDERS LLC ESCROW FEE-GRADING 0.00 <br /> 14870 BROCKTON LANE TOTAL 2 500.00 <br /> DAYTON,MN 55327- � <br /> (612)363-4304 Payment(s) <br /> Minnesota State License#: BUIL-BC681308 CHECK �-�Y6-� 2,500.00 <br /> 1!0`l <br /> OWNER <br /> Stonebay Builders LLC <br /> 14870 BROCTON LANE <br /> DAYTON,MN 55327- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pemtit is issued shall be perfortned 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 aze <br /> requested in conformance with the State Building Code.1'his permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />