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CITY OF ORONO * Z 0 1 2 - Pl 0 7 4 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUCD: 08/02/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3205 GRAHAM HILL RD <br /> �'�N : OS-l 17-23-14-006� <br /> LEGAL DESC : GRAHAM HILL PRESERVE <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: TI-IlS$1800.00 ESCROW]S TIED TO BUILD[NG PGRMIT 2012-00384,2012-00737,AND 12-3�60 <br /> PAID BY STONEWOOD LLC-CHECK NUMBER 1 1410 <br /> APPLICANT <br /> STONEWOOD, LLC ESCROW FEE-BUILDING 1,800.00 <br /> 7407 WAYZATA BLVD ESCROW FEE- EROSION CONTROL 0.00 <br /> MINNEAPOLIS, MN 55426- ESCROW FEE-GRADING 0.00 <br /> (952)697-5590 TOTAL <br /> 1,800.00 <br /> Minnesota State License #: 20�9431� <br /> OWNER <br /> KISSNER,MATT& NEENA <br /> 505 S IOTH STREET <br /> MINNEAPOLIS, MN 55404- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed accordin;to <br /> the approved plans and specitica[ions,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> nut gran[pennission for addi[ional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing diis type of work <br /> shall be compied wi[h whether or not specified herein.This permit will <br /> e�pire and become null and void if construction authorized is not <br /> commenced within I 80 days of the date of issuance,or if construction is <br /> suspcndcd for a period of 180 dnys at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conlormance with the State Buildin�Code.This pennit may be <br /> revoked at any time for due cause. <br /> / / {�y� / / <br /> Applicant Pernutee Signature Date <br /> [ssi �1 B}�Signaturc Date <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />