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, <br /> � CITY OF ORONO * z 0 1 4 - 0 1 1 5 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/07/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 835 HUNT FARM RD <br /> PIN : 30-118-23-43-0003 <br /> LEGAL DESC : HUNTINGTON FARM <br /> : LOT 001 BLOCK 003 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS$4000.00 ESCROW IS TIED TO BUILDING PERMIT 2014-00667 <br /> APPLICANT ESCROW FEE-BUILDING 4,000.00 <br /> ESCROW FEE-EROSION CONTROL 0.00 <br /> MASONRY BUILDERS <br /> PO BOX 180 ESCROW FEE-GRADING 0.00 <br /> ROBERTS,MN 54023- TOTAL 4,000.00 <br /> Minnesota State License#: BUIL-BC 672930 Payment(s) <br /> CHECK 7142 4,000.00 <br /> OWNER <br /> STILLMAN,ANDREW <br /> 835 HUNT FARM RD <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perforrned 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 related work which requires separate <br /> permits. All provisions of laws and ordinances governing 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 a[any time aRer work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in confortnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />