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CITY OF ORONO 1 1,' I I 11-1 11111 <br /> 2750 KELLEY PARKWAY * 2 PJ 1 - 0 0 <br /> DATE ISSUED: 04/17/2017 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 SCANNED <br /> ADDRESS : 100 BAYSIDE TR <br /> PIN : 06-117-23-22-0026 <br /> LEGAL DESC : BAYVIEW FARMS 2ND ADDN <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS$7500 ESCROW IS TIED TO BUILDING PERMIT 2016-00796 FOR A TEMPORARY CERTIFICATE OF OCCUPANCY PAID <br /> FOR BY RANDALL NORD. <br /> APPLICANT ESCROW FEE-BUILDING 7,500.00 <br /> TOTAL 7,500.00 <br /> NORD,RANDAL&LINDA Payment(s) <br /> P.O.BOX 429 CHECK 5204 7,500.00 <br /> MAPLE PLAIN,MN 55359- <br /> OWNER <br /> NORD,RANDAL&LINDA <br /> P.O.BOX 429 ' / „ b <br /> MAPLE PLAIN,MN 55359- A-U + O Ay i.s <br /> �Q.f, ,c `� propf ' <br /> AGREEMENT AND SWORN STATEMENT CA 44\51-'��, n <br /> The work for which this permit is issued shall be performed according to 1V`4 `1 <br /> the approved plans and specifications,applicable City approvals,and the 5j �� ,/`•/�/�� <br /> State Building Code. This permit is for only the work described and does /vIr`(�CdJ4_�r oPro <br /> V (flJJt <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied 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 /> requested in conformance with the State Building Code.This permit may be - <br /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date Issued By Signature Date <br />