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CITY OF ORONO * z 0 1 3 - 0 0 1 8 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/20/2013 <br /> ORONO, MN 553�6- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : Li84 BALDUR PARK RD <br /> PIN : 08-117-23-31-0004 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT 019 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NO'I'E: TH1S$600.00 GSCROW IS TIED"I'O E3U[LDING PERMIT-2013-00168 <br /> APPLICANT ESCROW FEE- BU[LDING 600.00 <br /> PEARSON, CRAIG & LISA ESCROW FEE- EROSION CONTROL 0.00 <br /> 1384 BALDUR PARK RD <br /> WAYZATA, MN 55391- ESCROW FEE-GRADING 0.00 <br /> TOTAL 600.00 <br /> OWNER <br /> PEARSON, CRA(G& LISA <br /> 1384 BALDUR PARK RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shalf be performed accordin�to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Buildin�Code. This permit is for only the work described and does <br /> not grant permission for additionai 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 permit will <br /> expire and become null and void if cons[ruc[ion 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 afrer work has commenced. <br /> The lpplicant is responsible for assurine all required inspections are <br /> requested in conformance wi[h the State E3uilding Code.This permit m1y be <br /> revoked at anv time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued k3y Signature Date <br /> SEPARATE PERMITS REQUIRGD FOR WORI< OTHER THAN DESCRIBED ABOVE. <br />