HomeMy WebLinkAbout2013-00387 - escrow fee CITY OF ORONO * z 0 1 3 — fd 0 3 8 7 *
2750 KELLEY PARKWAY DATE ISSUED: 05/2]/2013
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 4395 NORTH SHORE DR
PIN : 07-117-23-43-0018
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK 018
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: THIS$2500 ESCROW IS TIED TO BUILDING PERMIT 2013-00317-PD BY LECY BROS-CHECK#35573
APPLICANT ESCROW FEE-BUILDING 2,500.00
LECY BROS HOMES ESCROW FEE-EROSION CONTROL 0.00
15012 HWY 7 ESCROW FEE-GRADING 0.00
MINNETONKA,MN 55345
(952)944-9499 TOTAL 2,500.00
Minnesota State License#:20325555
OWNER
WARDEN,MR.&MRS.KENT
4395 NORTH SHORE DR
MOUND,MN 55364
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 permission for additional or related work which requires separale
permits. All provisions of laws and ordinances goveming 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 Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.