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- , • CITY OF ORONO * Z 0 1 5 - 0 1 4 0 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/30/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 100 CREEK RIDGE PASS <br /> PIN : 03-117-23-12-0016 <br /> LEGAL DESC : CREEKSIDE IN ORONO <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW TIED TO NEW HOME PERMIT#2015-01350-PAID BY:BARRY&KRIS PETERS-CK#9251-$2,500.00 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> PETERS,BARRY&KRIS Payment(s) <br /> 19210 HACKAMORE ROAD CHECK 9251 2,500.00 <br /> CORCORAN,MN 55340- <br /> OWNER <br /> PETERS,BARRY&KRIS <br /> 19210 HACKAMORE ROAD <br /> CORCORAN,MN 55340- <br /> AGREEMENT AIVD SWORN STATEMENT <br /> The work for which this permit 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 dces <br /> not 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 ��r� <br /> requested in conformance with the State Building Code.This permit may be C,� <br /> revoked at any time for due cause. <br /> / � ��s���� /(� / �� ' <br /> � ( l�C� ��. C��L <br /> Applicant Permitee Signature Date Issued By Signat e Date <br />