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` • CITY OF ORONO * Z 0 1 4 - 0 1 1 7 4 * <br /> 2750 KELLEY PARKWAY �ATE 1SSU��: 10/09/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 175 GOLDEN VIEW DR <br /> PIN ; 33-118-23-43-0015 <br /> LEGAL DESC : PETERMAN 2ND ADDN <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDF,NTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BU[LDING PERMIT <br /> NOTE: TI IIS I;SCROW[S��ll?D"I'O I3UII,DING PERMIT 2014-01 171 <br /> APPLICANT ESCROW FEE- BUILDING 2,500.00 <br /> ESCROW FEE- EROSION CONTROL 0.00 <br /> RIGLEY, .IOHN &S"i'EPHANIE GSCROW FEE-GRADING 0.00 <br /> 175 GOLDEN VIEW DR <br /> LONG LAKE, MN 55356- TOTAL 2,500.00 <br /> (952)513-8874 Payment(s) <br /> CHECK ]004 2,500.00 <br /> OWNER <br /> RIGLEY,JOHN& STEPHANIG <br /> 175 GOLDEN VIEW DR <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work f�or���hich this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State f3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separatc <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein."l�his permit�vill <br /> expire and become null and void if construction authorized is not <br /> commenced within I 80 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 /> reyuested in conforniance�vith the State Building Code.�I�his permit may bc <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued[3y Signature Date <br />