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� - CITY OF ORONO * Z 0 1 5 - 0 0 1 3 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/02/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3928 CHERRY AVE <br /> PIN : 08-117-23-33-0018 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 004 <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$2500 ESCROW IS TIED TO DEMO PERMIT 2015-00068 <br /> APPLICANT ESCROW FEE-BUILD[NG 2,500.00 <br /> ESCROW FEE-EROSION CONTROL 0.00 <br /> LAKESHORE HOLDINGS LLC ESCROW FEE-GRADING 0.00 <br /> 153 LAKE STREET E TOTAL 2,500.00 <br /> WAYZATA,MN 55391- <br /> (612)462-4000 Payment(s) <br /> CHECK 1037 2,500.00 <br /> OWNER <br /> O'REILLY, DONALD <br /> 3928 CHERRY AVE <br /> MOUND,MN 55364- <br /> AGREEMENT AivD SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for onty the work described and does <br /> not grant permission for additional or related work which requires sepazate <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 /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />