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CITY OF ORONO * z 0 1 5 - 0 0 0 9 7 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: OU23/2015 <br /> ORONO, MN 55356- <br /> " �� 952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 767 BRIDGEWATER DR <br /> PIN : 33-118-23-12-0089 <br /> LEGAL DESC : STONEBAY SEVENTH ADDITION <br /> : LOT 2 BLOCK 1 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW TIED TO NEW HOME PERMIT#2015-00093 PD BY WOODDALE BUILDERS CK#82289-$2500.00(PD FOR 5 PERMITS <br /> AT ONCE$12,500.00) <br /> ��?o�.� v0 td - <br /> �� c�I(�cf� 1- Wti��� <br /> ,QG���'� -��� <br /> �'SCrcfin/ uni� , �`� <br /> � �:� � ��-�� <br /> �����. <br /> APPLICANT ESCROW FEE- BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> WOODDALE BUILDERS INC. Payment(s) <br /> 6117 BLUE CR DR CHECK 82289 2,500.00 <br /> MINNETONKA, MN 55343- <br /> (952)345-0543 <br /> Minnesota State License#: BUIL-BC002926 <br /> OWNER <br /> Stonebrook Development LLC <br /> 61 17 BLUE CR DR <br /> MINNETONKA, MN 55343- <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 on(y the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing[his typc 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 <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 conformance wi[h the State Building Code.This permit may be <br /> revoked at any time f r due cause. ��_ ,� <br /> � .�f� <br /> ��� �-�z� -- ,s �r T� �.� ���'��� 1, z � �, <br /> Applicant Pe itee Signature Date Issued By Signaturk � Date <br />