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CITY OF ORONO 11111111111 li ii 111111 I1 II <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/18/2016 <br /> ORONO,MN 55356- <br /> . (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4325 LAKEVIEW CT <br /> PIN : 06-117-23-43-0016 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 2 BLOCK 3 <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 FOR NEW HOME PERMIT#2016-00821 -PD BY:NORTON HOMES LLC-CK#14402-$2,500.00 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> NORTON HOMES Payment(s) <br /> 18215 45TH AVE N,STE D CHECK 14402 2,500.00 <br /> PLYMOUTH,MN 55446- <br /> (612)386-7661 <br /> Minnesota State License#:BUIL-BC639221 <br /> OWNER <br /> Source Land Development Inc. <br /> 18215 45TH AVE N <br /> STE D <br /> PLYMOUTH,MN 55446- <br /> AGREEMENT 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 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 /> rev ked at any time forme ca se. f LO <br /> (AA ll 1. f C AI /U1 <br /> A icant Permitee'Signature Date Issued By Signature Date <br />