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. � <br /> CITY OF ORONO * Z Q� 1 5 - 0 0 1 PJ 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: O1/23/2015 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 660 SANDSTONE CIR <br /> PIN : 33-118-23-11-0056 <br /> LEGAL DESC : STONEBAY <br /> : LOT 007 BLOCK 002 <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 ESCROW IS TIED TO BULDIJNG PERMIT 2015-00108 <br /> 66Q 662,AND 664 SANDSTONE CIRCLE <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> STONEBAY BUILDERS LLC Payment(s) <br /> 14870 BROCKTON LANE CHECK 1110 2,500.00 <br /> DAYTON,MN 55327- <br /> (612)363-4304 <br /> Minnesota State License#: BUIL-BC681308 <br /> OWNER <br /> Stonebay Builders LLC <br /> 14870 BROCTON LANE <br /> DAYTON,MN 55327- <br /> AGREEMENT AND SWORI�i 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 goveming 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 /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />