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. <br /> CITY OF ORONO T <br /> * 20 1 4 - 00734 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/11/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2760 WHITE OAK CIR <br /> PIN : 04-117-23-42-0018 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1447 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS ESCROW PAYMENT OF$2500 IS TIED TO POOL PERMIT 2014-00736 <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> ESCROW FEE-DEVELOPER 0.00 <br /> SHANNON,MR.& MRS. TOTAL 2,500.00 <br /> 2760 WHITE OAK CIR <br /> Payment(s) <br /> • <br /> LONG LAKE, MN 55356 CHECK 11376 2.500.00 <br /> OWNER <br /> 01 LI 0 <br /> SHANNON,MR.&MRS. a50 Kelley Parkway <br /> 2760 WHITE OAK CIR MN 55.256, 552-249-4euh <br /> LONG LAKE, MN 55356 <br /> Receipt No: 3.0112W Jul 14, 2014 <br /> AGREEMENT AND SWORN STATEMENT Katherine Shannon <br /> The work for which this permit is issued shall be performed according to previous Balance: .00 <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 Fermi is <br /> not grant permission for additional or related work which requires separate x'014-00734 2760 Wh i to 2,5110.00 <br /> permits. All provisions of laws and ordinances governing this type of work Oak Cir <br /> shall be compied with whether or not specified herein.This permit will 101-22205 <br /> expire and become null and void if construction authorized is not Deter red Rev-Developer Deposit <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 Total: 2,500.00 <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. Check <br /> Check No: 11376 2.500.00 <br /> Payer: <br /> Applicant Permitee Signature Date Kather ine Shanr;nn <br /> I P i•...t et: <br />