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, . ' CITY OF ORONO * 2 0 1 4 - 0 0 1 B 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/06/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 3625 JACOBS MILL RD <br /> PIN : 32-118-23-24-0013 <br /> LEGAL DESC : JACOBS MILL <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : ESCROW FEE-OTHER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-OTHER <br /> NOTE: ESCROW FOR TEMPORARY CERIFICATE OF OCCUPANCY <br /> APPLICANT ESCROW FEE-OTHER 10,000.00 <br /> TOTAL 10,000.00 <br /> MINNETONKA CUSTOM HOMES INC. Payment(s) <br /> 3575 TUXEDO BLVD CHECK 3185 10,000.00 <br /> MOLJND, MN 55364 <br /> (612)386-4494 <br /> Minnesota State License#: BUIL-BC20386620 <br /> OWNER <br /> SCHMID, KURT&CAROL <br /> 2950 ISLAND VIEW DRIVE <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shali 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 goveming 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 conform h the State Building Code.This permit may be <br /> revoked at ' e for due ause. <br /> � � `� �1�,,� / / <br /> pplicant itee Signature Date Issued By ' ature Date <br />