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CITY OF ORONO 111111I1 11 <br /> 111 111.lI�3 .11 11 11 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/14/2016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1065 WILLOW VIEW DR <br /> PIN #4fr : 28-118-23-41-0009 <br /> LEC4.L DESC : WILLOW VIEW <br /> : LOT 014 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: ESCROW FOR STAIRS BEING ADDED TO DECK-PAID BY:OWNER:BENJAMIN&MARIA VEACH,CK#7515-$700.00 <br /> (AMOUNT OK'D BY CM) <br /> APPLICANT ESCROW FEE-BUILDING 700.00 <br /> TOTAL 700.00 <br /> VEACH,BENJAMIN&MARIA <br /> Payment(s) <br /> 1065 WILLOW VIEW DR CHECK 7515 700.00 <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> VEACH,BENJAMIN&MARIA <br /> 1065 WILLOW VIEW DR <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 /> nIN -a1 (914 <br /> (0 / f o-/ / �C <br /> Applicant Permitee Signature ate Issued By Sign ture Date <br />