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liiiiiiiiiiiiiiiiiiiiillillilillillim <br /> CITY OF ORONO * 2 0 1 4 - 0 0 9 8 4 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/02/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 3465 WATERTOWN RD <br /> PIN 32-118-23-43-0008 <br /> LEGAL DESC UNPLATTED 32 118 23 <br /> LOT 000 BLOCK 000 <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 DEMOLITION PERMIT 2014-00974 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> ESCROW FEE-EROSION CONTROL 0.00 <br /> GORDON JAMES CONSTRUCTION ESCROW FEE-GRADING 0.00 <br /> 5159 MAIN STREET E <br /> P.O.BOX 306 TOTAL 2,500.00 <br /> MAPLE PLAIN,MN 55359- Payment(s) <br /> (763)479-3117 CHECK 11540 2,500.00 <br /> Minnesota State License#: BUIL-20531961 <br /> OWNER <br /> NELSON,JEFFREY&BARB <br /> 3465 WATERTOWN RD <br /> LONG LAKE, MN 55356- <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 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date Issued By Signature Date <br />