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CITY OF ORONO <br /> * 2014 - 01362 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/24/2014 <br /> ORONO, MN 55356- <br /> 952)249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3710 TOGO RD <br /> PIN : 17-117-23-31-0027 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 003 BLOCK 010 <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 ESCROW IS TIED TO BUILDING PERMIT 2014-01293 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> LINDQUIST,LINDA ESCROW FEE-EROSION CONTROL 0.00 <br /> 3710 TOGO RD ESCROW FEE-GRADING 0.00 <br /> WAYZATA,MN 55391- TOTAL 2,500.00 <br /> Payment(s) <br /> CHECK 3971 2,500.00 <br /> OWNER City of Orono <br /> 2750 Kelley Parkway <br /> Orono MN 55356 952-249-4600 <br /> LINDQUIST,LINDA <br /> 3710 TOGO RD Receipt No: 3.012349 Nov 24, 2014 <br /> WAYZATA,MN 55391- <br /> Clay Peterson <br /> Previous Balance: .00 <br /> Permits <br /> AGREEMENT AND SWORN STATEMENT 2014-01293 3720 Togo 2,500.00 <br /> Road <br /> The work for which this permit is issued shall be performed according to 101-22205 <br /> the approved plans and specifications,applicable City approvals,and the Deferred Rev-Developer Deposit <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 Total: 2,500.00 <br /> permits. All provisions of laws and ordinances governing this type of work Check <br /> shall be compied with whether or not specified herein.This permit will Check No: 3971 2,500.00 <br /> expire and become null and void if construction authorized is not Payor: <br /> commenced within 180 days of the date of issuance,or if construction is Clay Peterson <br /> suspended for a period of 180 days at any time after work has commenced. 1,. tal Applied: 2,500.00 <br /> The applicant is responsible for assuring all required inspections are --------------- <br /> requested in conformance with the State Building Code.This permit may be Change Tendered: .00 <br /> revoked at any time for due cause. <br /> 11/24/2014 08:47AM <br /> Applicant Permitee Signature Date Issued By Signature Date <br />