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f <br /> CITY OF ORONO * z m 1 7 — 0 1 1 0 1 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/11/2017 <br /> ORONO,MN 55356- <br /> (952)2494600 FAX: 952)2494616 <br /> ADDRESS : 2425 OLD BEACH RD <br /> PIN : 21-117-23-22-0016 <br /> LEGAL DESC : THE MARSH AT LAFAYETTE <br /> LOT 003 BLOCK 001 <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$2500 ESCORW IS TIED TO BUILDING PERMIT 2017-01100 PAID BY SUBURBAN DREAM HOMES CHECK# 11008 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> SUBURBAN DREAM HOMES LLCTOTAL 2,500.00 <br /> 10340 VIKING DRIVE# 138 Payments) <br /> EDEN PRAIRIE,MN 55344- CHECK 11008 2,500.00 <br /> Minnesota State License#:BUIL-BC638212 <br /> OWNER <br /> WALCHER,ERIC&SUZANNE <br /> 2425 OLD BEACH RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed 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 at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Applicant Petmitee Signature Date Issued By Signature Date <br />