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. , CITY OF ORONO * 2 0 1 3 - PJ 0 1 9 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/22/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3165 CASCO CIR <br /> PIN : 20-117-23-43-0026 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 036 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: TH1S$7500 ESCROW[S FOR A TEMPORARY CERTIFIC�ITE OF OCCUPANCY-PD CHECK-3315 <br /> APPLICANT ESCROW FEE-APPLICANT 7,500.00 <br /> ARMSTRONG, WARD& KATHLEEN ESCROW FEE- DEVELOPER 0.00 <br /> 6898 EDGEBROOK PLACE <br /> EDEN PRAIRIE, MN 55346- TOTAL 7,500.00 <br /> OWNER <br /> ARMSTRONG, WARD& KATHLEEN <br /> 6898 EDGEBROOK PLACE <br /> EDEN PRAIRIE, MN 55346- <br /> AGREEMENT AND SWORN STATEMENT <br /> The worh for whidi[his permit is issued shall be performed according[o <br /> the approved plans 1nd specifications,applic�blc City approvals,and the <br /> State Building Code. This permit is for only the work described 1nd does <br /> not grant permission Yor additional or related work which requires separate <br /> permits. All provisions of laws and ordin�nces governing Ihis type of work <br /> shall be compied witli whether or not specitied herein.This pennit will <br /> expire and become null and void if construc[ion au[horized is not <br /> commenced wi[hin 180 days of the date of issuance,or if construction is <br /> suspended for�period of l30 days at any time after work has commenced. <br /> The applic�int is responsible for assuring all required inspections are <br /> requested in conformance�vith the State Quilding Code.This permi[may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signatw�e Date [ssued By Signature Date <br /> SEPARATE PERM("I�S REQU[RED FOR WORI<OTHER THAN DESCRIBED ABOVE. <br />