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' ' CITY OF ORONO * z 0 1 4 - 0 0 6 7 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/30/2014 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1265 SHORELINE DR <br /> PIN : 02-117-23-34-0010 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1123 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-T1ED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: TIED TO BUILDING PERMIT 2014-00560 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> LAKE COUNTRY BUILDERS, LTD Payment(s) <br /> 339 2ND STREET CHECK 7213 2,500.00 <br /> EXCELSIOR, MN 55331 <br /> (952)474-7121 <br /> Minnesota State License#: BUIL-20349679 <br /> OWNER <br /> MCCABE, ROGER <br /> 1265 SHORELINE DR <br /> WAYZATA, MN 55391- <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 sepazate <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 0 days at any time after work has commenced. <br /> The appl� is respon ble or assuring all required inspections are <br /> request in con rma ce w h the State Building Code.This permit may be <br /> revoked at any ti f r due ause. <br /> ! / <br /> app ica t Permitee Signature Date Issued By nature Date <br />