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CITY OF ORONO * Z 0 1 5 - 0 0 0 3 PJ * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU12/2015 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 114 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0035 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW TIED TO BUILDING PERMIT#2014-01418 FOR ADDITION. PAID BY: OWNERS,THE MCLEAN'S-CK#10384- <br /> $2,500.00 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> MCLEAN,CHRISTOPHER&ELIZABETH Payment(s) <br /> 114 CHEVY CHASE DR CHECK 10384 2,500.00 <br /> WAYZATA, MN 55391- <br /> OWNER <br /> MCLEAN, CHRISTOPHER& ELIZABETH <br /> 114 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> S[ate 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 /> permits. AII provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether 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 l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. ' <br /> l/�� l� �.�: <br /> ) � � <br /> I ��C���� ���,� �� ��-� � �-� l�}� �-�1C �6 l_ � i i <br /> Applicant Permitee Signature Date Issued By Signature Date <br />