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CITY OF ORONO II < < 1II1II1 II III <br /> 11111111 II <br /> 203 - 0272 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/06/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2300 WILLOW HILL DR <br /> PIN : 03-117-23-32-0026 <br /> LEGAL DESC : WILLOW HILL <br /> : LOT MB BLOCK MB <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 2013-01184 -2300 WILLOW HILL DRIVE-PD CHECK#5308 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> ESCROW FEE-EROSION CONTROL 0.00 <br /> Sowada Willow Property LLC ESCROW FEE-GRADING 0.00 <br /> 725 FERNDALE RD N <br /> WAYZATA, MN 55391- TOTAL 2,500.00 <br /> Payment(s) <br /> CHECK 5308 2,500.00 <br /> OWNER <br /> Sowada Willow Property LLC <br /> 725 FERNDALE RD N <br /> WAYZATA, MN 55391- <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 />