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CITY OF ORONO ,II '1 Ili III [11111 11 <br /> * 2014 - 00 1 39 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02118/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 225 OLD CRYSTAL BAY RD S <br /> PIN : 04-117-23-24-0002 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.230 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$2500 ESCROW IS TIED TO DEMOLITION PERMIT#2014-00099-PAID BY BOLLIG&SONS ON 02/03/2014 <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> TOTAL 2,500.00 <br /> BOLLIG &SONS, INC. Payment(s) <br /> 11401 COUNTY ROAD 3 CHECK 32729 2,500.00 <br /> HOPKINS,MN <br /> (612)938-4433 <br /> • <br /> OWNER <br /> HAY,NORMAN <br /> 5685 ROSOF PKWY <br /> LONG GROVE, IL 60047- <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 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 time for due cause. <br /> Applicant Permitee Signature Date Issued By Signature Date <br />