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� � ' ` CITY OF ORONO * 2 0 1 4 - 0 1 1 0 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/29/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1410 CHERRY PL <br /> PIN : 08-117-23-33-0081 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 004 <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 20I401108 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> STONEWOOD, LLC F..SCROW FEE-EROSION CONTROL 0.00 <br /> 153 E LAKE STREET ESCROW FEE- GRADING 0.00 <br /> WAYZATA, MN 55391- TOTAL 2,500.00 <br /> (612)462-4000 Payment(s) <br /> Minnesota State License#: BUIL-BC594315 CHECK 13020 2,500.00 <br /> OWNER <br /> TORGERSON, KEVIN&TERESA <br /> 1410 CHERRY PL <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfottned 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 /> ❑ot 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 specified herein.This permit will <br /> expire 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 at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested 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 Signature Date <br />