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CITY OF ORONO * 2 0 1 4 - 0 0 0 7 5 * <br /> 2750 KELLEY PARKWAY DATE iSSUED: OU23/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> PR[NTFD WITHOU"I'ISSUING 2/13/2014 <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 UI ING PERMIT <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIE TO B ILD G PERMIT <br /> � <br /> \ <br /> NOTE: THIS$2500 ESCROW IS TIED TO BUILDING�ER i�2014- 0074 <br /> ESCROW PERMIT VOIDED 2/6/14 <br /> CHARLES CUDD ORIGINALLY WROTE CHEC 9693$ 500 O PAY ESCROW. <br /> HOMEOWNGRS JOHN AND CYNTHIA ROB[N A NOW AY ESCROW W[TH THE[R CHECK 4765$2500 2014- <br /> � � � 6�� <br /> -� ,-l� �� l <br /> G��'� , p o 0 <br /> an�`� <br /> APPLICANT ESCROW FEE- BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> CHARLES CUDD LLC Payment(s) <br /> ]5050 23RD AVENUE N CHECK 029693 2,500.00 <br /> PLYMOUTH, MN 55447- <br /> 0 <br /> Minnesota State License#: BUIL-BC635245 <br /> OWNER <br /> Hometime Video Publishing Inc <br /> 4355 PEAVEY RD <br /> CHASKA, MN 55318- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant pennission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be eompied 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 /> reques[ed in conformance wi[h[he 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 />