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� , , 1111111JI11L1111 <br /> CITYOFORONO * z014 - 007fd3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/08/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 3759 CASCO AVE <br /> PIN : 20-117-23-31-0010 <br /> LEGAL DESC : CASCO HEIGHTS <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : ESCROW FEE-T[ED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERM[T <br /> NOTE: THIS$2500.00 ESCROW IS TIED TO I3UILDING PERMf'1'2014-00554 AND Dh:MO PF.RMI'I'2013-01154 <br /> APPLICANT ESCROW FEE-BU[LDING 2,500.00 <br /> ESCROW FEE-EROSION CONTROL 0.00 <br /> COLSON CUSTOM HOMES ESCROW FEE-GRADING 0.00 <br /> 216 WATER STREET <br /> EXCELSIOR, MN 55331- TOTAL 2,500.00 <br /> �� Payment(s) <br /> Minnesota State License#: BUIL-20276966 CHECK 7974 2,500.00 <br /> OWNER <br /> MADDEN, BRUCE <br /> 3759 CASCO AVE <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according ro <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 will <br /> expire 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 /> 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 /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />