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I MI iii 11 Ills <br /> CITY OF ORONO * 20 1 4 - 00 1 73 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/26/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 945 WILLOW VIEW DR <br /> PIN : 28-118-23-44-0009 <br /> LEGAL DESC : WILLOW VIEW <br /> : LOT 008 BLOCK 001 <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 PERMIT-2013-00610(POOL)AND 2013-01013(DECK)-PAID CHECK#5457 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> ESCROW FEE-EROSION CONTROL 0.00 <br /> HUBBARD, TIMOTHY&AMY <br /> 945 WILLOW VIEW DR ESCROW FEE-GRADING 0.00 <br /> LONG LAKE,MN 55356- TOTAL 2,500.00 <br /> Payment(s) <br /> CHECK 5457 2,500.00 <br /> Lilly of do ,„ <br /> OWNER f,elley Parkway <br /> i ` <br /> HUBBARD, TIMOTHY&AMY Receipt.+ of 3 ,01649E F , 4(tfl� J- <br /> 945 WILLOW VIEW DR <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT 113 945' 1 0 , 3 <br /> -view . <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 lei/Ted; ReY,*t eri**it <br /> State Building Code. This permit is for only the work described and does 1, • • <br /> not grant permission for additional or related work which requires separate Ix tt;81- 2s+ <br /> permits. All provisions of laws and ordinances governing this type ofwork <br /> shall be compied with whether or not specified herein.This permit will ck <br /> expire and become null and void if construction authorized is not theik 'N' 4. • 21500.00' <br /> commenced within 180 days of the date of issuance,or if construction is =ciYPr; <br /> suspended for a period of 180 days at any time after work has commenced. HuA3red <br /> The applicant is responsible for assuring all required inspections are ' l ten ty .(i <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. ` ` _ may'.=00 <br /> • `,OE/S/ )14 0:30W,, <br /> Applicant Permitee Signature Date Issued By Signature Date <br />