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CITY OF ORONO * 2 0 1 4 - 0 0 0 7� <br /> 2750 KF.LLEY PARKWAY DATE ISSUED: OU23/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 105 CREEK RIDGE PASS �f <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 Y'� <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT � ��� <br /> I <br /> NO"I'G: THIS$2500 ESCROW IS TIED"I'O E3UfLDING PFRMIT-2014-00073 <br /> , J <br /> \ , <br /> � <br /> , <br /> � <br /> APPLICAN ESCROW FEE- BUJLDING 2,500.00 <br /> ESCROW FE��ROSION CONTROL 0.00 <br /> CHARLES CUDD LLC ESCROW�F�E-GRADING 0.00 <br /> 15050 23RD AVENUE N <br /> PLYMOUTH, MN 55447- '�' TOTAL 2,500.00 <br /> �� �ment(s) <br /> Minnesota State License#: BUIL-BC635245 '� CHECK 029693 2,500.00 <br /> � , <br /> i <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 pemiit is issued shall be perfomled according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State[3uilding Code. This permit is for onl��the work described and docs <br /> not grant permission for additional or related work which requires scpazate <br /> permits. All provisions of laws and ordinances govcming this type of«�ork <br /> shall be compicd with�e�hether or not specitied 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 atter work has commenced. <br /> The applicant is responsible for assuring all required inspcctions arc <br /> requested in conformance with thc State Building Code.This permit may bc <br /> revoked a[any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued I�y Signature Date <br />