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� ' ' CITY OF ORONO * z 0 1 4 - 0 1 0 6 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/19/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4460 FOREST LAKE LANDING <br /> PIN : 07-117-23-24-0015 <br /> LEGAL DESC : TONKAVIEW GARDENS <br /> : LOT O10 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-T1ED TO BUILDING PERMIT <br /> NROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS$2500 ESCROW IS"I'II;D TO BUII.DING PERM[T 2014-00932 <br /> APPLICANT ESCROW FEE- E3UILDING 2,500.00 <br /> ESCROW FEE- EROSION CONTROL 0.00 <br /> LEE'S LANDSCAPING& DESIGN <br /> 7990 69TH AVE N ESCROW FEE-GRADING 0.00 <br /> ROCKFORD, MN 55373- TOTAL 2,500.00 <br /> (763)688-1217 Payment(s) <br /> Minnesota State License#: BUIL-BC665790 CHECK 1566 2,500.00 <br /> OWNF,R <br /> BARTA, PATOM &JANICE <br /> 4460 FOREST LAKE LANDING <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> "l�he work for�vhich this permit is issued shall bc perfonncd according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. "Chis perniit is for only the work describcd and docs <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 specifled hcrein.1'his permit will <br /> espire 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 commenccd. <br /> Che applicant is responsible for assurin�all required inspections are <br /> requested in conformance with the State Building Code.'fhis permi[may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitcc:Signature Date Issued By Signature Datc <br />