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CITY OF ORONO <br /> , ' * Z 0 1 4 — 0 0 1 1 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/07/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 105 CREEK RIDGE PASS <br /> PIN : 03-117-23-12-0012 <br /> LEGAL DESC : CREEKSIDE IN ORONO <br /> : LOT 001 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 /> NOTG: 1'II;D"10 BUILDING PGRMIT 2014-00074 <br /> APPLICANT ESCROW FEE- BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> ROBIN, JOHN & CYNTHIA Payment(s) <br /> 5925 FIELDSTONE PLACE CHECK 4765 2,500.00 <br /> INDEPENDENCE,MN 55359- <br /> OWNER <br /> Hometime Video Publishing Inc <br /> 4355 PEAVEY RD ' '``' ='=�"� ` <br /> CHASKA, MN 55318- ,iry; ;,j�; 3. <br /> �; � Cy�tni� <br /> AGREEMENT AND SWORN STATEMENT ,Y,,; <br /> The work for which this permit is issued shall be performed according to �-i�• <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 /> not grant permission for additional or related work which requires separate <br /> _�i`t' <br /> permits. All provisions of laws and ordinances goveming this type of work ^�1� <br /> shall be compied wid�whether or not specified hereia'I'his permit will .____..__ <br /> expire and become null and void if cons[ruction authorized is not -r; <br /> commeneed within 180 days of the date of issuance,or if construction is ; (��,; h�p�� � � �,�f�� <br /> suspenJed for a period of 180 days at any time afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are '.'�4h1� F�7�:1'+ <br /> �... <br /> requested in confomiance with the State Building Code.This permit may be `?t:: <<�'- <br /> revoked at any time for due cause. "'--�"�'V�- <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />