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f� ♦� <br /> CITY OF ORONO * 2 0 1 4 - 0 1 4 8 9 * <br /> ` 2750 KELLEY PARKWAY DATE ISSUED: 12/30/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 673 SANDSTONE CIR <br /> PIN : 33-118-23-11-0039 <br /> LEGAL DESC : STONEBAY <br /> : LOT 036 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTTON TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS $2500 ESCROW IS TIED TO 673,675,677 SANDSTONE CIRCLE <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> ESCROW FEE-EROSION CONTROL 0.00 <br /> Stonebay Builders LLC ESCROW FEE-GRADING 0.00 <br /> 14870 BROCKTON LANE <br /> DAYTON, MN 55327- TOTAL 2,500.00 <br /> Payment(s) <br /> CHECK 1104 2,500.00 <br /> OWNER <br /> Stonebay Builders LLC <br /> 14870 BROCKTON LANE <br /> DAYTON, MN 55327- <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 goveming this type of work <br /> shall be compied with whether or not specified herein.This permit wi(1 <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 afrer 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 S�gnature Date Issued By Signature Date <br />