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� .`' CITY OF ORONO * 2 0 1 4 — 0 0 2 5 B * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/3U2014 <br /> ORONO, MN 55356- <br /> 952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 2524 SANDSTONE LA <br /> PIN : 33-118-23-11-0019 <br /> LEGAL DESC : STONEBAY <br /> : LOT 016 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: ESCROW TIED TO BUILDING PERMIT#201400256-PD ON CK#80464 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> WOODDALE BLD, INC. Payment(s) <br /> 6109 BLUE CR DR CHECK 80464 2,500.00 <br /> MINNETONKA,MN 55343- <br /> (952)345-0543 <br /> Minnesota State License#: BUIL-BC002926 <br /> OWNER City of Oror�o <br /> 2750 Kelley Parkway <br /> Stonebrook Homes Orona hRV 55356 95�-c49-4fi00 <br /> 1016 COVETRY PL Receipt Nd: 3.41G520 Mar 31, P014 <br /> EDINA,MN 55424- <br /> 4h�oddale Builders <br /> Planning and Zoning� <br /> AGREEMENT AND SWORN STATEMENT Escr� deposit - 2524 B� 5,00�.�0 <br /> 2526 5ar�dstor�e La <br /> The work for which this permit is issued shall be performed according to lUi-�c2�3 <br /> the approved plans and specifications,applicable Ciry approvals,and the i�eferred Rev-Develaper Depasit <br /> State Building Code. This permit is for only the work described and does --�---- <br /> 5 t)40.OQ <br /> not grant permission for additional or related work which requires sepazate Total: _ �_ Y___ <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 CheCk NA: 904b4 5�OOQ.00 <br /> Pa ar: <br /> commenced within 180 days of the date of issuance,or if construction is y <br /> suspended for a period of 180 days at any[ime after work has commenced. I�IQ011dd12 bUi 1d8Y`5 � �.O� <br /> The applicant is responsible for assuring alf required inspections are Total Appl ied: _r__?_�____ <br /> requested in conformance with the State Building Code.This permit may be Change Tendered' •� <br /> revoked at any time for due cause. � ------------ <br /> ,� ;3� , / <br /> Applicant Permitee Signature Date Issued By S' nature Date <br />