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1 . y <br /> CITY OF ORONO * 2 0 1 4 — 0 0 6 Z 4 * <br /> 2750 KELLEY PARKWAY pATE (SSUEn: 06/18/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2470 CARMnN ST <br /> PIN : 20-117-23-12-0� <br /> LEGAL DF,SC : LEHMAN LAGOON <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NO�[�F:: �I�HIS$700.00 I;SCROW fS"l'IED"I�O SUBDIVIS101��APPLICA"CION 14-3676 <br /> APPLICANT ESCROW FEE - APPL[CANT 700.00 <br /> ESCROW FEE - DEVELOPER 0.00 <br /> LAKESHORE HOLDINGS LLC TOTAL 700.00 <br /> 153 LAKE STREET E Payment(s) <br /> WAYZATA, MN 55391- CE�{ECK 12801 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 /> l�hc���ork for which this pennit is issucd shall be performed accordine ro <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. 'I�his pcnnit is for only the work described and does <br /> not grant permission for additional or rclated 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 1 SO days of the date of issuance,or if construction is <br /> suspended for a period of I 80 days at any time after work has commenced. <br /> "I�he applicant is responsible for assuring all required inspections are <br /> rcquested in cont�ormance with the Statc Building Code."l�his pcnnit may be <br /> rcvoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />