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CITY OF ORONO <br />2750 KELLEY PARKWAY <br />ORONO, MN 55356- <br />II I Ill Ill Ill I II IIII I II IIIIII I Ill I IIII I II I 111111111111111111 <br />*2015-00316* <br />DATE ISSUED: 03/18/2015 <br />(952) 249-4600 FAX: (952) 249-4616 <br />ADDRESS <br />PIN <br />LEGALDESC <br />PERMIT TYPE <br />PROPERTY TYPE <br />CONSTRUCTION TYPE <br />: 4355 BAYSIDE RD <br />: 06-117-23-12-0007 <br />: UNPLA TTED 06 117 23 <br />: LOT 000 BLOCK 000 <br />: ESCROW FEE -APPLICANT <br />: RESIDENTIAL <br />: ESCROW FEE -APPLICANT <br />NOTE: THIS $2500 ESCROW IS TIED TO ZONING APPLICATION #15-3726 <br />APPLICANT <br />WHITE, GREG & LYNN <br />4355 BAYSIDE RD <br />MAPLE PLAIN, MN 55359- <br />OWNER <br />WHITE, GREG & LYNN <br />4355 BAYSIDE RD <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 oflaws 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 <br />ESCROW FEE -APPLICANT <br />ESCROW FEE -DEVELOPER <br />TOTAL <br />Payment(s) <br />CHECK 1313 <br />Issued By Signature Date <br />2,500.00 <br />0.00 <br />2,500.00 <br />2,500.00 <br />I I