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CITY OF ORONO * 2 0 1 5 -u0�0 2 5 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/02/2015 <br /> " ORONO, MN 55356- <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1065 LINDEN LA <br /> PIN : 07-117-23-14-0066 <br /> LEGAL DESC : LINDEN BEACH <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CO1vSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW FOR TEMPORARY CERTIFICATE OF OCCUPANCY ON NEW HOME PERMIT#2013-01293&ZONMG PERMIT <br /> #201401276 <br /> PAID BY OWNERS THE KUZNIK'S CK#4916-$7,500.00 <br /> APPLICANT ESCROW FEE-BUILDING 7,500.00 <br /> TOTAL '1,500.00 <br /> KUZNIK,TONY&CARRIE Payment(s) <br /> 10690 ZIEGLERS DRIVE CHECK 4916 7,500.00 <br /> BROOKLYN PARK,MN 55443- <br /> OWNER <br /> KUZNIK,TONY&CARRIE <br /> 10690 ZIEGLERS DRIVE <br /> BROOKLYN PARK,MN 55443- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit 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 sepazate <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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> . <br /> ok.c, j 1��,�— c�Y�,e�.v� 3 , z , <br /> Applicant Permitee Signature Date Issued By Signature Date <br />