HomeMy WebLinkAbout2015-01071 - escrow fee CITY OF ORONO �
2750 KELLEY PARKWAY * � 0 1 S — fd 1 0 7 1 *
DATE ISSUED: 08/2U2015
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 185 OLD CRYSTAL BAY RD N
PIN : 33-118-23-34-0001
LEGAL DESC : UNPLATTED 33 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ESCROW FEE-APPLICANT
PROPERTY TYPE : RESIDENTIAL
COIVSTRUCTION TYPE : ESCROW FEE-APPLICANT
NOTE: THIS$2500 ESCROW IS TIED TO 2015-00978-PAID BY DAWN MOONEY
APPLICANT ESCROW FEE-APPLICANT 2,500.00
TOTAL 2,500.00
ETAL,LYDON STUBBS Payment(s)
185 OLD CRYSTAL BAY RD N CHECK 3169 2,500.00
LONG LAKE,MN 55356-
OWNER
Chamberlain Fine Custom Homes
CAMERON, PAUL
11578 CHAMBERLAIN CT
EDEN PRAIRIE,MN 55346-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for oniy the work described and dces
not grant permission for additional or related work which requires separate
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.
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Applicant Permitee Signature Date Issued By Signature Date