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CITY OF ORONO I ! 1 1' 1 1 1 1 1 1 1 1 1 * 2750 KELLEY PARKWAY * 2 1 7 - 0 0 6 5 DATE ISSUED: 06/23/22 017 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1200 OLD CRYSTAL BAY RD S PIN : 09-117-23-13-0007 LEGAL DESC : BRECKENRIDGE : LOT 001 BLOCK 001 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: THIS$2500 ESCROW IS TIED TO DEMOLITION PERMIT 2017-00694 PAID BY BILL BIGLEY APPLICANT ESCROW FEE-BUILDING 2,500.00 TOTAL 2,500.00 BIGLEY,BILL Payment(s) 1200 OLD CRYSTAL BAY RD S CHECK 2249 2,500.00 WAYZATA,MN 55391- !:tly ,)t Uru(iu 2/50 Kelley Parkway 952-249-4600 OWNER Orono MN 55356 BIGLEY,BILL Receipt No: 3.018549 Jun 23, 2017 1200 OLD CRYSTAL BAY RD S WAYZATA,MN 55391- Bill Bigley Previous Balance: .00 AGREEMENT AND SWORN STATEMENT Permits 2017-00695 1200 Old 2,500.00 The work for which this permit is issued shall be performed according to Crystal Bay Rd S the approved plans and specifications,applicable City approvals,and the 101-22205 State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate Deferred Rev Developer Deposit permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will Total: 2,500.00 expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is Check suspended for a period of 180 days at any time after work has commenced. 2,500.00 The applicant is responsible for assuring all required inspections are Check No: 2249 requested in conformance with the State Building Code.This permit may be Payor: revoked at any time for due cause. Bill Bigley r ,. Total Applied: 2. �txl.tui Change *hinder ed: .00 Applicant Permitee Signature Date Iss __�.__,..., Date