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CITY OF ORONO * Z 0 1 7 - 0 0 4 9 4 * <br /> • 2750 KELLEY PARKWAY DATE [SSUED: 05/15/2017 <br /> ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 701 DICKEY LAKE DR �-Y��-� �I <br /> P[N : 34-118-23-22-0005 <br /> LEGAL DESC : RINGERSWOOD <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: ESCROW FOR SANITARY SEWER EXTENSION AND WATERMAIN EXTENSION FOR PROPERTY AT 701 DICKEY LAKE RD <br /> -PAID BY:GONYEA HOMES,CK# 14468,$10,000.00. EATHAN TALKED TO CHRIST[NE MATTSON AND THEY W[LL GET REFUND <br /> FROM CITY. <br /> APPLICANT ESCROW FEE-APPLICANT ]0,000.00 <br /> TOTAL 10,000.00 <br /> GONYEA HOMES Payment(s) <br /> 1000 BOONE AVE N#400 CHECK 14468 10,000.00 <br /> GOLDEN VALLEY, MN 55427- <br /> (612)741-9069 <br /> Minnesota State License#: BUIL-2459 <br /> OWNER <br /> PFINGSTEN,TROY&AMY <br /> 701 DICKEY LAKE DR <br /> LONG LAKE, MN 55356- <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 1 AO days of the date of issuance,or if construction is <br /> suspended for a period of 1 SO 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 /> d � C I��.�_� �"`��� �l JG�I / <br /> Applicant Permitee Sig tur ' Date Issued By Signa ure Date <br />