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CITYOFORONO * 20 14 - PJ0075 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: O1/23/2014 <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 00] <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BU[LDING PERMIT <br /> NO"I�G: "1'k IIS�2500 ESCROW IS TII:D 7�0 BUILDING PERMIT-2014-00073 <br /> APPLICANT ESCROW FEE- BUILDING 2,500.00 <br /> ESCROW FEE -EROSION CONTROL 0.00 <br /> CHARLES CUDD LLC ESCROW FEE-GRADING 0.00 <br /> 15050 23RD AVENUE N <br /> PLYMOUTH, MN 55447- TOTAL 2,500.00 <br /> �� Payment(s) <br /> Minnesota State License#: BUIL-BC635245 CHECK 029693 2,500.00 <br /> OWNER <br /> Hometime Video Publishing lnc <br /> 4355 PEAVEY RD <br /> CHASKA, MN 55318- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for���hich this permit is issued shall be performcd according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This pennit is for only thc work described and does <br /> not grant permission for additional or related work�vhich requires separate <br /> permits. All provisions ot�laws and ordinances governing this type of work <br /> shall be compicd with whether or not specitied herein.This permi[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 responsibie for assuring all required inspections are <br /> requested in conformance with the State Buildii�g Code.7�his permit may be <br /> revoked at any time tbr due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />