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� � � CITY OF ORONO * z 0 1 4 - 0 0 3 e 2� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/29/2014 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2789 PHEASANT RD <br /> PIN : 21-117-23-32-0005 <br /> LEGAL DESC : REG.LAND SURVEY NO.0310 <br /> : LOT 000 BLOCK 000 <br /> PERMTT TYPE : ESCROW FEE-APPLICANT' <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$7500.00 ESCROW IS COLLECTED FOR THE TEMPORARY CERTIFICATE OF OCCUPANCY. <br /> APPLICANT ESCROW FEE-APPLICANT 7,500.00 <br /> ESCROW FEE-DEVELOPER 0.00 <br /> TEYNOR, GAIL&JOSEPH TOTAL 7,500.00 <br /> 13225 CARDINAL CREEK RD <br /> EDEN PRAIRIE,MN 55346- Payment(s) <br /> CHECK 8050 7,500.00 <br /> � <br /> � <br /> OWNER � �it of th^onrr I <br /> � � N,el le�,Parl�aay I <br /> TEYNOR,GAIL&JOSEPH � aro� '10�t 553�6 g��qy,�r� � <br /> 13225 CARDINAL CREEK RD ; f�i� No: 3�4f�f -: 2;', �;4 1 <br /> EDEN PRAIRIE,MN 55346- � - �'� , <br /> j. � - , . . . . . <br /> I �+121 �E'}f3'lp�t' � <br /> F. <br /> I. _�'!�.a1i�t1.Y! c� Y�W�71 � <br /> RW <br /> AGREEMENT AND SWORN STATEMENT I, r�j,y C;�, �� ..��78g:. 7�;�,1.4� <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 � '���� ' I <br /> �'� �f&rreti:����r;Il��sit � <br /> State Building Code. This permit is for only the work described and does ' , . <br /> not grant permission for additiona►or related work which requires separate 'E��{, �'.� ��� + <br /> rmits. All rovisions of laws and ordinances ovemin this �". <br /> Pe P B S 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 '� �� �°�£ t�� �s�a� � <br /> commenced within 180 days of the date of issuance,or if construction is : ,,��`4Y� <br /> suspended for a period of 180 days at any pme after work has commenced. � �' ` } �p �� �. <br /> The applicant is responsible for assuring all required inspections are �; "',+�A�� �p�X�Y�E�y '� �w*�,�;� � <br /> requested in conformance with the State Building Code.This permit may be i ; ` �� _ 'I <br /> revoked at any time for due cause. i;: �„i"'i�1fl�L ?���t'�d;. ��j(�w I <br /> �;� �� � ...,.,r,.�cY�_:. � <br /> �-. ,;�t���t�}�.�t �L:L3� " , � <br /> � . i � <br /> Applicant Permitee Signature Date '�- <br /> � <br /> , <br /> � <br /> i <br /> , � <br /> i <br />