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� CITY OF ORO O * Z 0 1 5 - 0 0 3 1 6 * <br /> 2750 KELLEY PA WAY DATE ISSUED: 03/18/2015 <br /> ORONO, MN 553 6- <br /> 952 249-4600 FAX: 95 249-4616 <br /> ADDRESS : 4355 BAYSIDE RD <br /> PIN : 06-117-23-12-0007 , <br /> LEGAL DESC : UNPLATTED 06 ll 7 23 <br /> : LOT 000 BLOCK 000 i <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL , <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT ' <br /> NOTE: THIS$2500 ESCROW IS TIED TO'LONING APPL[CATION#15-3726' <br /> i <br /> APPLICANT ESCROW F -APPLICANT 2,500.00 <br /> ESCROW FE -DEVELOPER 0.00 <br /> WHITE, GREG&LYNN <br /> 4355 BAYSIDE RD TOTAL 2,500.00 <br /> MAPLE PLAIN, MN 55359- Payment(s) <br /> CHECK 1313 2,500.00 <br /> OWNER <br /> WHITE,GREG& LYNN <br /> 4355 BAYSIDE RD <br /> MAPLE PLAIN,MN 55359- <br /> AGREEMENT AND SWORN STATEMENT II <br /> The work for which this permi[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 /> permi[s. 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 /> expice 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 a[any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> reques[ed in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Sign ture Date <br />