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CITY OF ORONO * Z 0 1 6 — 0 1 5 6 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/27/2016 <br /> ORONO, MN 55356- <br /> ' (952) 249-4600 FAX: (952) 249-4616 <br /> AI3DRESS : 3295 CRYSTAL BAY RD <br /> PIN : 17-117-23-41-0013 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW PAID BY CONTRACTOR,THEY KNOW THAT THE MONEY WILL GO BACK TO THE OWNER. [NITIAL: ���� <br /> PAID CK#37391 ALONG WITH THE MONEY FOR THE ADVANCED PLAN REVIEW$2,500.00+$3,437.80=$5,937.80 PAID BY PILLAR <br /> HOMES <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> PILLAR HOMES Payment(s) <br /> 1700 NIAGARA LANE N CHECK 37391 2,500.00 <br /> PLYMOUTH,MN 55447 <br /> (763)475-1700 <br /> OW1vER <br /> GREG BLASKO&WHITNEY WINDMILLER <br /> 3295 CRYSTAL BAY RD <br /> WAYZATA, MN 55391- <br /> AGREEMEIVT 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 /> State 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. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not speci6ed 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 /> , -` . <br /> �_, � ) <br /> -- --_ , ,.., � � J <br /> — <br /> , ��� � ,� � � � -j1 � � � � / L:;C - �_ �c�f� L � �/ � � / , <br /> . ���,�, y� _ - <br /> Applicant Permitee Signat� Date Issued By Signat re Date <br />