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CITY OF ORONO * 2014 - 01122 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 1560 TANGLEWOOD RD <br /> PIN : 26-118-23-32-0012 <br /> LEGAL DESC TANGLEWOOD <br /> LOT 003 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ESCROW FEE-APPLICANT <br /> NOTE: THIS$2500 ESCROW IS TIED TO ZONING PERMIT-2014-01064-PAID BY MOM'S LANDSCAPING <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> MOM'S LANDSCAPING&DESIGN <br /> ESCROW FEE-DEVELOPER 0.00 <br /> TOTAL 2,500.00 <br /> 12276 JOHNSON MEMORIAL DRIVE Payment(s) <br /> SHAKOPEE,MN 55379- <br /> (952)277-6667 CHECK 23545 2,500.00 <br /> Minnesota State License#: BUIL-BC638384 <br /> OWNER <br /> BUHMAN,DION&TANYA <br /> 1560 TANGLEWOOD RD <br /> LONG LAKE,MN 55356- <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 />