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� �y <br /> CITY OF ORONO * 2 QJ 1 7 - 0 0 6 0 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/05/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3017 NORTH SHORE DR <br /> PIN : 09-117-23-32-0002 <br /> LEGAL DESC : CORONADO BEACH LK MTKA <br /> : LOT 000 BLOCK 000 <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 20j�G-00602 PAID BY SWANSON HOMES <br /> / <br /> Zol�� <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> SWANSON HOMES Payment(s) <br /> 1360 HAMEL ROAD CHECK 38361 2,500.00 <br /> MEDINA,MN 55340- <br /> (763)478-0320 <br /> Minnesota State License#:BUIL-627982 <br /> OWNER <br /> BLUE,JAMES <br /> 9610 SKY LA <br /> EDEN PRAIRIE,MN 55347- <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 /> Sta[e 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 /> permiu. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This pertnit 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 /> revoked at any[ime for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />