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• CITY OF ORONO 11111111111 11 I I I I I I I 3111 <br /> II <br /> 2750 KELLEY PARKWAY * x 0 1 7 - 0 0 3 1 9 <br /> DATE ISSUED: 04/04/2017 <br /> ORONO, MN 55356- • <br /> �^ <br /> 1 <br /> (952)249-4600 FAX: (952) 249-4616 f �t CG <br /> ADDRESS : 1006 WILDHURST TR <br /> PIN : 07-117-23-24-0045 <br /> LEGAL DESC : WILDHURST ESTATES <br /> : LOT 003 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$2,000 ESCROW IS TIED TO ZONING PERMIT 2017-00296 <br /> APPLICANT ESCROW FEE-BUILDING 2,000.00 <br /> SOUTHVIEW DESIGN TOTAL 2,000.00 <br /> Payment(s) <br /> 2383 PILOT KNOB RD CHECK 21287 2,000.00 <br /> MENDOTA HEIGHTS,MN 55120- <br /> (651)203-3000 <br /> OWNER .y <br /> _r50 Kelley Parkway <br /> CARTER,MATTHEW&ANA Orono MN 55356 952-249-4600 <br /> 1006 WILDHURST TR <br /> MOUND, MN 55364- <br /> Receipt No: 3.017814 Apr 4, 2017 <br /> Southview Design <br /> AGREEMENT AND SWORN STATEMENT <br /> Previous Balance: .00 <br /> The work for which this permit is issued shall be performed according to Permits <br /> the approved plans and specifications,applicable City approvals,and the 2016 00319 1006 <br /> State Building Code. This permit is for only the work described and does 2,000.00 <br /> not grant permission for additional or related work which requires separate Wi idhurst Trail <br /> permits. All provisions of laws and ordinances governing this type of work 101-22205 <br /> shall be compied with whether or not specified herein.This permit will Deferred Rev-Developer Deposit <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 Total <br /> suspended for a period of 180 days at any time after work has commenced. 2,000.00 <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be Check <br /> revoked at any time for due cause. Check No: 21287 2,000.00 <br /> _ 7 <br /> Applicant Permitee Signature Date Iss <br />