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, , • � CITY OF ORONO * Z 0 1 5 - PJ 0 Z 6 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/03/2015 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3309 CRYSTAL BAY RD <br /> pI� : 17-117-23-41-0016 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <br /> : LOT 001 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: ESCROW FOR TEMPORARY CERTIFICATE OF OCCLJPANCY FOR NEW HOME PERMIT#2014-00858-PD BY OWNER:DAVID <br /> SCHMID <br /> CK#3411-$7>500.OQ PER CHRIS MATTSON. <br /> A PREVIOUS ESCROW WAS PAID ON PERMIT#2014-00335 04/21/15 FOR$2,500.00 <br /> APPLICANT ESCROW FEE-APPLICANT 7,500.00 <br /> TOTAL 7,500.00 <br /> SCHMID, DAVID Payment(s) <br /> 3309 CRYSTAL BAY RD CHECK 3411 7,500.00 <br /> WAYZATA, MN 55391- <br /> OWNER <br /> SCHMID, DAVID <br /> 3309 CRYSTAL BAY RD <br /> WAYZATA, MN 55391- <br /> AGREEMEIVT 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 desctibed and does <br /> not grant permission for additional 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[ruction 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 a t is responsible for assuri II re uired inspections are <br /> uested in c for ce with the ate ildi g Code.This permit may be <br /> �." revoked at any for du caus . G!/�-� <br /> Z�l t1 ���-�� � � � , /S <br /> Appl ermit Signa D e Issued By Signature Date <br />