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� ' CITY OF ORONO * 2 0 1 3 - 0 PJ 5 7 3 * <br /> ' ' � 2750 KELLEY PARKWAY DATE ISSUED: 06/26/2013 <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 O18 <br /> PERMTT 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#2013-00471 AND DEMOLITION PERMIT#2013-00429-PD CHECK#12250 <br /> BY BRADLEY CLEVELAND <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> CLEVELAND,BRADLEY&PAT ESCROW FEE-EROSION CONTROL 0.00 <br /> 4520 JiJNEAU LANE N <br /> PLYMOUTH,MN 55446- ESCROW FEE-GRADING 0.00 <br /> (763)557-9891 TOTAL 2,500.00 <br /> OWNER <br /> CLEVELAND,BRADLEY&PAT <br /> 4520 JUNEAU LANE N <br /> PLYMOUTH,MN 55446- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'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. 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 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 ai any time after work has commenced. <br /> The applicant is responsible for assuring all required inspecdons are <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 /> SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. <br />