HomeMy WebLinkAbout2012-00776 - escrow fee CITY OF ORONO * z 0 1 2 - 0 0 7 7 6 *
2750 KELLEY PARKWAY DATE ISSUED: 08/10/2012
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 75 LEAF ST
PIN : OS-117-23-11-0014
LEGAL DESC : GRAHAM HILL PRESERVE 3
: LOT 1 BLOCK 3
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: TIED TO BUILDING PERMIT 2012-00070
FOR TEMPORARY CO
APPLICANT ESCROW FEE-BUILDING 7,500.00
KAPSNER,JASON&JULIE TOTAL 7,500.00
760 DICKEY LAKE ROAD
LONG LAKE,MN 55356-
OWNER
KAPSNER,JASON&JULIE
760 DICKEY LAKE ROAD
LONG LAKE,MN 55356-
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 grarit permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances governing 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 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 S' ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.