HomeMy WebLinkAbout2014-01004 (escrow fee) � � � � CITY OF ORONO * 2 0 1 4 — 0 1 fd 0 4 �
< . -, 2750 KELLEY PARKWAY . DATE�ssuED: 09/1OL2014
ORONO,MN 55356- `���
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 3510 BAYSIDE RD .
PIN : OS-117-23-13-0016
LEGAL DESC : AUDITOR'S SUBD.NO. 203
: LOT 000 BLOCK 000
PERMIT TYPE : ESCROW FEE-APPLICANT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-APPLICANT
NOTE: ESCROW FOR ZONING PERMIT#2014-00904
APPLICANT ESCROW FEE-APPLICANT 2,000.00
TOTAL 2,000.00
LARSEN,GREGG& STEPHANIE Payment(s)
3510 BAYSIDE RD CHECK 17009 2,000.00
LONG LAKE,MN 55356-
OWNER
LARSEN, GREGG&STEPHANIE
3510 BAYSIDE RD
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry 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 goveming 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 afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conform e with the State Building Code.This permit may be � �
revoked at any t for due cause.
� CJ����� 7 � �'�� � .
Applic t P ignature Date Issued By Signature Date