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CITY OF ORO O * 2 0 1 4 - 0 0 2 6 9 * <br /> 2750 KELLEY PARK AY DATE ISSUED: 04/02/2014 <br /> ORONO, MN 5535 - <br /> (952) 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 75 BAYSIDE TR <br /> PIN : 06-117-23-22-9995 <br /> LEGAL DESC : BAYSIDE MEADOWS <br /> : LOT 5 BLOCK 1 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PER IT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PER IT <br /> NOTG: THIS$2500 ESCROW IS TIED TO BUILDING PERMIT#20 1 3-0 1 04 1 PD C ECK#12136 BY GONYEA HOMES <br /> APPLICANT ESCROW EE- BUILDING 2,500.00 <br /> ESCRbW EE- EROSION CONTROL 0.00 <br /> GONYEA HOMES ESCROW EE-GRADING 0.00 <br /> 6102 OLSON MEMORIAL HIGHWAY <br /> GOLDEN VALLEY, MN 55427- TOTAL 2,500.00 <br /> (612)741-9069 Payment(s <br /> Minnesota State License#: BUIL-2459 CHECK 12136 2,500.00 <br /> OWNER <br /> WACHMAN JR., ERVIN <br /> 2135 SALEM CT I <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issucd shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This pemiit 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 speciYied herein.This permi[will <br /> expire and become null and void if construc[ion 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 aftcr work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code."fhis permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issu�d B Signature Date <br />