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ADDRESS <br />PIN <br />LEGAL DESC <br />CITY OF ORONO <br />2750 KELLEY PARKWAY <br />ORONO, MN 55356- <br />(952) 249-4600 FAX: (952) 249-4616 <br />: 2470 CARMAN ST <br />: 20-117-23-12-0060 <br />: LEHMAN LAGOON <br />: LOT 005 BLOCK 001 <br />PERMIT TYPE : ESCROW FEE -APPLICANT <br />PROPERTY TYPE : RESIDENTIAL <br />CONSTRUCTION TYPE : ESCROW FEE -APPLICANT <br />NOTE: THIS $700.00 ESCROW IS TIED TO SUBDIVISION APPLICATION 14-3676 <br />II I Ill Ill Ill I II IIII Ill II IIII I Ill I IIII I Ill I 11111111111111111 <br />*2014-00624* <br />DATE ISSUED: 06/18/2014 <br />APPLICANT <br />LAKESHORE HOLDINGS LLC <br />153 LAKE STREET E <br />WAYZATA, MN 55391- <br />ESCROW FEE -APPLICANT <br />ESCROW FEE -DEVELOPER <br />TOTAL <br />700.00 <br />0.00 <br />700.00 <br />(612) 462-4000 <br />OWNER <br />LIND, MR. & MRS. THOMAS <br />2470 CARMAN ST <br />, 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 <br />Payment(s) <br />CHECK <br />Issued By Signature <br />12801 700.00 <br />I I <br />Date