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iiiiiiiiiiiiiiiiiiiiiillillillillillillilliillim <br /> CITY OF ORONO _ <br /> 0019 * <br /> 2750 KELLEY PARKWAY * DANE ISSUED: 0 2/0115 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 2585 OLD BEACH RD <br /> PIN 21-117-23-22-0020 <br /> LEGAL DESC THE MARSH AT LAFAYETTE <br /> LOT 007 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$700 ESCROW IS TIED TO BUILDING PERMIT 2015-00187 <br /> APPLICANT ESCROW FEE-BUILDING 700.00 <br /> ESCROW FEE-EROSION CONTROL 0.00 <br /> SYLVESTRE CONSTRUCTION INC. ESCROW FEE-GRADING 0.00 <br /> 7708 5TH AVE S TOTAL 700.00 <br /> MINNEAPOLIS,MN 55423- <br /> (612)861-0188 Payment(s) <br /> Minnesota State License#:BUIL-BC001428 CHECK 2379 700.00 <br /> OWNER <br /> FREIVALDS,JOHN&LINDA <br /> 2585 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 Permitee Signature Date Issued By Signature Date <br />