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. � ., • CITY OF ORONO * 2 0 1 5 - 0 0 3 B 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/03/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1135 PINE VIEW DR <br /> pIN : 28-118-23-42-0008 <br /> LEGAL DESC : PINE VIEW <br /> : LOT 2 BLOCK 1 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$7500 ESCROW IS TIED TO BUILDING PERMIT 201400690 FOR TEMPORARY CERTIFICATE OF OCCUPANCY <br /> APPLICANT ESCROW FEE-APPLICANT 7,500.00 <br /> ESCROW FEE-DEVELOPER 0.00 <br /> VANYO,MICHAEL TOTAL 7,500.00 <br /> 6733 URBANDALE LN N <br /> MAPLE GROVE,MN 55311- Payment(s) <br /> CHECK 6035 7,500.00 <br /> OWNER <br /> VANYO,MICHAEL <br /> 6733 URBANDALE LN N <br /> MAPLE GROVE,MN 55311- <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 dces <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 pemvt will <br /> expire and become null and void if construction suthorized 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 confora►ance 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 />