HomeMy WebLinkAbout2017-00392 - escrow fee .. . CITY OF ORONO * 2 0 1 7 - 0 0 3 9 2 *
2750 KELLEY PARKWAY DATE ISSUED: 04/20/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 905 FERNDALE RD W
PIN : 02-117-23-44-0032
LEGAL DESC : AUDITOR'S SUBD.NO. 184
: LOT MB BLOCK MB
PERMIT TYPE : ESCROW FEE-APPLICANT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-APPLICANT
NOTE: THIS$2500 ESCROW IS TIED TO ZONING APPLICATION 17-3937-PAID BY BLACK BEAR BUILDERS
APPLICANT ESCROW FEE-APPLICANT 2,500.00
TOTAL 2,500.00
BROOKS,JOHN&JOAN Payment(s)
905 FERNDALE RD W CHECK 12320 2,500.00
WAYZATA,MN 55391-
OWNER
BROOKS,JOHN&JOAN
905 FERNDALE RD W
WAYZATA,MN 55391-
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 grant pertnission 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 I80 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.
/ /
Applicant Permitee Signature Date Issued By Signature Date
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