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' . CITY OF ORONO * z 0 1 4 - 0 1 1 4 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/06/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 135 LUCE LINE RIDGE <br /> PIN : 31-118-23-34-0007 <br /> LEGAL DESC : PAINTERS CREEK <br /> : LOT 005 BLOCK 001 <br /> PERMiT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS$2500 ESCROW IS TIED TO BUILDING PERMIT 201401092 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> ESCROW FEE-EROSION CONTROL 0.00 <br /> ANDERSON,DAVID ESCROW FEE-GRADING 0.00 <br /> 135 LUCE LTNE RIDGE TOTAL 2,500.00 <br /> MAPLE PLAIN,MN 55359- <br /> Payment(s) <br /> CHECK 1700 2,500.00 <br /> OWNER <br /> ANDERSON, DAVID <br /> 135 LUCE LINE WDGE <br /> MAPLE PLAIN,MN 55359- <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 goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become nuil and void if construction authorized is not <br /> commenced within I 80 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 /> Applicant Permitee Signature Date Issued By Signature Date <br />