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' � ` CITY OF ORONO * 2 P1 1 4 - 0 0 1 1 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/07/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 105 CREEK RIDGE PASS <br /> PIN : 03-117-23-12-0012 <br /> LEGAL DESC : CREEKSIDE IN ORONO <br /> : LOT 001 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 /> NOTE: TIED TO BUILDING PERMIT 2014-00074 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> ROBIN, JOHN&CYNTHIA Payment(s) <br /> 5925 FIELDSTONE PLACE CHECK 4765 2,500.00 <br /> INDEPENDENCE, MN 55359- <br /> OWNER <br /> Hometime Video Publishing Inc <br /> 4355 PEAVEY RD <br /> CHASKA, MN 55318- <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 only the work described and does <br /> not grant permission for additional or rela[ed 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 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 afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any[ime for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />