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. � <br /> - CITY OF ORONO * Z pJ 1 4 — 0 1 3 7 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: ii/26/2014 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 4315 NORTH SHORE DR <br /> PIN : 07-117-23-43-0028 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 000 BLOCK 018 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$7500 ESCROW IS TIED TO THE TEMPORARY CERTIFICATE OF OCCUPANCY. <br /> APPLICANT ESCROW FEE-APPLICANT 7,500.00 <br /> ESCROW FEE-DEVELOPER 0.00 <br /> CLEVELAND,BRADLEY&PAT TOTAL 7,500.00 <br /> 4520 JUNEAU LANE N Payment(s) <br /> PLYMOUTH,MN 55446- CHECK 12386 7,500.00 <br /> (763)557-9891 <br /> OWNER <br /> CLEVELAND,BRADLEY&PAT <br /> 4520 JUNEAU LANE N <br /> PLYMOUTH,MN 55446- <br /> AGREEMENT AND SWORN STATEMENT <br /> T'he 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. T'his 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 null and void if consVuction 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.1'his permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />