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CITY OF ORONO * 2 0 1 5 - 0 0 2 8 7 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/18/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 2494616 <br /> ADDRESS : 3015 WATERTOWN RD <br /> PIN : 04-117-23-22-0030 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN <br /> LOT 002 BLOCK 003 <br /> PERMIT TYPE ESCROW FEE-APPLICANT <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ESCROW FEE-APPLICANT <br /> NOTE: THIS$2500 ESCROW IS TIED TO ZONING PERMIT 15-3519 <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> ESCROW FEE-DEVELOPER 0.00 <br /> NEWELL,MARC&KARI TOTAL 2,500.00 <br /> 3015 WATERTOWN RD Payment(s) <br /> LONG LAKE,MN 55356- CHECK 5385 2,500.00 <br /> City of Orono <br /> 2750 Kelley Parkway <br /> Orono MN 55356 952-249-4600 <br /> OWNER Receipt No: 3.012823 Feb 18, 2015 <br /> NEWELL,MARC&KARI Kari Newell <br /> 3015 WATERTOWN RD j <br /> LONG LAKE,MN 55356- Planning and Zoning <br /> 15-3519 3015 Watertown 2,500.00 <br /> Road <br /> 101-22205 <br /> Deferred Rev-Developer Deposit <br /> AGREEMENT AND SWORN STATEMENT Planning and Zoning <br /> 15-3519 3015 Watertown 700.00 <br /> The work for which this permit is issued shall be performed according to Road <br /> the approved plans and specifications,applicable City approvals,and the 101-34420 <br /> State Building Code. This permit is for only the work described and does Cond Use-Variance-Dev Fees <br /> gran p reg separate 3,200.00 <br /> not t permission for additional or related work which requires s erste Total' ' <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 Check <br /> expire and become null and void if construction authorized is not Check No: 5385 3,200.00 <br /> commenced within 180 days of the date of issuance,or if construction is Payor' <br /> suspended for a period of 180 days at any time after work has commenced. Kari Newell <br /> The applicant is responsible for assuring all required inspections are Total Applied: 3,200.00 <br /> --------------- <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 /> 02/18/2015 09:42AM <br /> Applicant Permitee Signature Date Issued By Signature Date <br />