HomeMy WebLinkAbout2015-00334 - escrow fee CITY OF ORONO * z 0 1 5 - 0 0 3 3 4 *
� ' 2750 KELLEY PARKWAY DATE ISSUED: 03/23/2015
ORONO, MN 55356-
(952 249-4600 FAX: 952) 249-4616
ADDRESS : 905 FERNDALE RD W
PIN : 02-117-23-44-0010
LEGAL DESC : AUDITOR'S SUBD.NO. 184
: LOT 000 BLOCK 000
PERMIT TYPE : ESCROW FEE-APPLICANT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-APPL[CANT
NOTE: ESCROW FOR'T.ONING FILE#15-3727,LOT LINE REARRANGEMENT-$2,500 PD BY JOHN BROOKS,CK#10277
APPLICANT ESCROW FEE-APPLICANT 2,500.00
TOTAL 2,500.00
BROOKS,JOHN&JOAN Payment(s)
905 FERNDALE RD W CHECK 10277 2,500.00
WAYZATA, MN 55391-
OWNER
BROOKS, JOHN&JOAN
905 FERNDALE RD W
WAYZATA, MN 55391-
AGREEMENT AIYD SWORN STATEMENT
The work for which[his 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 gran[permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied wi[h 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 da[e 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature' Date Issued By Signature Date
�� MNCy55356Way
952-249-4600
Receipt No: 3.013U15
� � Mar 23, 2015
.lohn Brooks
Escrownforn 05 &1950
Ferndale Rd W 2,500.00
101-22205
Deferred Rev-Developer Deposit
Plannirig and Zoning
Subdivision - Lot Line
Rearrangement Only 700.00
15-3727
101-34420
Cond Use-Variance-Dev Fees
7ota1: ---------------
3,200.00
Check _______________
Check No: 70277
Payor: 3,200.00
Total nAPP1�ed:
3,200.U0
Change Tendered: -`----------
.00
0�/23/2015 02:O1PM =_-________
,�-vs,o 10 2 7 7
JOHN C.BROOKS
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