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CITY OF ORONO 11 I 111 111 II III 1111 II 11 <br /> 2750 KELLEY PARKWAY * 20 1 4 - 0 1 421 7 <br /> DATE ISSUED: 12/08/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1125 PINE VIEW DR <br /> PIN : 28-118-23-42-0007 <br /> LEGAL DESC : PINE VIEW <br /> : LOT 1 BLOCK 1 <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 2014-01252 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> NYQUIST, MATTHEW&JENNIFER ESCROW FEE-EROSION CONTROL 0.00 <br /> 6126 MAIN STREET W ESCROW FEE-GRADING 0.00 <br /> MAPLE PLAIN,MN 55359- TOTAL 2,500.00 <br /> Payment(s) <br /> CHECK 108 2,500.00 <br /> OWNER <br /> NYQUIST,MATTHEW&JENNIFER <br /> 6126 MAIN STREET W <br /> MAPLE PLAIN,MN 55359- <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 />