HomeMy WebLinkAbout2010-00759 - escrow fee CITY OF ORONO PERMIT NO.: 2010.00759
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuED: 08/24/2010
952 249-4600 FAX: 952 249-4616
REPRINTED ON 8/24/2010
ADDRESS : 1860 SHADYWOOD RD
PIN : 17-117-23-24-0018
LEGAL DESC : SHADY-WOOD
: LOT 000 BLOCK 000
PERMIT TYPE : ESCROW FEE-APPLICANT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-APPLICANT
NOTE: THIS ESCROW PAYMENT OF$2500.00 IS TIED TO ZONING PERMIT 2010-00758 PAID BY RHONDA OMLIE FOR RETAINING
WALL AND MINOR LAND ALTERATION -CHECK#5869
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APPLICANT
OMLIE, WILLIAM&RHONDA ESCROW FEE-APPLICANT 2,500.00
1860 SHADYWOOD RD TOTAL 2,500.00
WAYZATA, MN 55391
OWNER
OMLIE, WILLIAM&RHONDA
1860 SHADYWOOD RD
WAYZATA,MN 55391
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By S�gnature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.