HomeMy WebLinkAbout2015-00128 - escrow fee • � CITY OF ORONO * z 0 1 5 - 0 0 1 z 8 *
� � � � 2750 KELLEY PARKWAY DATE ISSUED: O1/29/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3460 BIRCH LA
PIN : 08-117-23-43-0027
LEGAL DESC : LYDIARDS PARK LAKE MTKA
: LOT 019 BLOCK 000
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
APPLICANT ESCROW FEE-BUILDING 2,500.00
LISLE, STEVE&ANGELA ESCROW FEE-EROSION CONTROL 0.00
3460 BIRCH LA ESCROW FEE-GRADING 0.00
WAYZATA,MN 55391- TOTAL 2,500.00
Payment(s)
CHECK 3089 2,500.00
OWNER
LISLE, STEVE&ANGELA
3460 BIRCH LA
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 sepazate
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 after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This percnit may be
revoked at any time for due cause.
/ /
Applicant Permitee Signature Date Issued By Signature Date
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