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� CITY OF ORONO * Z 0 1 5 - 0 0 6 B 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/29/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2677 CASCO POINT RD <br /> PIN : 20-117-23-23-0020 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 135 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS$2500 ESCROW IS TIED TO BUILDING PERMIT#2015-00682 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> ESCROW FEE-EROSION CONTROL 0.00 <br /> SNYDER,WILLIAM&JULIE ESCROW FEE-GRADING 0.00 <br /> 2677 CASCO POINT RD <br /> WAYZATA,MN 55391- TOTAL 2,500.00 <br /> Payment(s) <br /> CHECK 5220 2,500.00 <br /> OWNER City of Orono <br /> 2753 Kelley Parkway <br /> SNYDER,WILLIAM&JiILIE Orono MN 55356 952-249-460G <br /> 2677 CASCO POINT RD <br /> WAYZATA,MN 55391- Receipt No: 3.013520 May 29, 2015 <br /> William Snyder <br /> Previous Balance: .00 <br /> AGREEMENT AND SWORN STATEMENT Permits <br /> 2015-00684 2677 Casco Pt 2,500.00 <br /> The work for which this pertnit is issued shall be performed according to Rd <br /> the approved plans and specifications,applicable City approvals,and the 101-22205 <br /> State Building Code. This permit is for only the work described and does Deferred Rev-Developer Deposi t <br /> not grant permission for additional or related work which requires separate --------------- <br /> permits. All provisions of(aws and ordinances goveming this type of work Tota 1: 2,500.00 <br /> --------------- <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 CheCk <br /> commenced within 180 days of the date of issuance,or if conswction is Check No: 5220 2,500.00 <br /> Payor: <br /> suspended for a period of 180 days at any time after work has commenced. W 11118m S�ydeY <br /> The applicant is responsible for assuring all required inspections aze Tota 1 App 1 i ed: 2,500.00 <br /> requested in conformance with the State Building Code.This permit may be --------------- <br /> revoked at any time for due cause. Change Tendered: .00 <br /> --------------- <br /> 05/29/2015 09:04AM <br /> / <br /> Applicant Permitee Signature Date Issu <br />