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• �. � CITY OF ORONO * Z 0 1 4 — PJ 0 3 3 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/2U2014 <br /> ORONO, MN 55356— <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3309 CRYSTAL BAY RD <br /> PIN : 17-117-23-41-0016 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <br /> : LOT 001 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$2500 ESCROW IS TIED TO ZONING PERMIT-#I4-3664 <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> ESCROW FEE-DEVELOPER 0.00 <br /> SCHMID, DAVID TOTAL 2,500.00 <br /> 3309 CRYSTAL BAY RD <br /> WAYZATA, MN 55391- Payment(s) <br /> CHECK 3365 2,500.00 <br /> OWNER ' �i:,, r�f ;N�r��� � ; <br /> 'c`i`.1t7' �C•;:F`f ��rklfx�! <br /> QI'8?'t�t fil� �e�� �_�u�"4�ik1 <br /> SCHMID,DAVID ` <br /> 3309 CRYSTAL BAY RD RE�:r�t hn: sp�11��i`i? F.ftt' �lg c�:i:'t <br /> WAYZATA, MN 5539]- <br /> � <br /> iia.'1� ,�`?C�TA:ii <br /> � aitF�lf�a y"�i4 r.�i^..Pi� <br /> AGREEMENT AND SWORN STATEMENT ' l�'�='�'� ��9 Cr��s��� a:,v �'a�� ��'•- <br /> f.�a� <br /> The work for which this permit is issued shall be performed according to ����`�'`�'S �� , <br /> [he approved plans and speciScations,applicable City approvals,and the 3�frry�`r �±��r j}r���'���"i^ �t2Q���________,r ^ <br /> State Building Code. This permit is for only the work described and does �. �e(� (�(� <br /> T4u��: G�av <br /> not grant permission for additional or related work which requires sepazate ,,._,.._��-�,:��.—:�-: <br /> permits. All provisions of laws and ordinances governing this type of work r��� <br /> shall be compied with whether or not specified herein.This permit will ' Lrr�,���� 'Yt,� iti j��,r�,� , <br /> expire and become null and void if construction authorized is not �����,y.; <br /> commenced within 180 days of the date of issuance,or if construction is ���s� �rtyt�l� � <br /> suspended for a period of]80 days at any time after work has commenced. j�;t;3, I���,,��,; �?s`r;{�,�:4 � <br /> The-applicant is responsible for assuring all required inspections aze - -""""" i <br /> requested in conformance with the State Building Code.This permit may be �i}�p E�? '��r,q;z'�rp�: .��� <br /> revoked at any time for due cause. =-= -•------•-- + <br /> �Y�f�:�f�G`k �:� �:�s� <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />