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CITY OF ORONO * z 0 1 5 - 0 0 5 0 9 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 04/29/2015 <br /> � ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3928 CHERRY AVE <br /> pI� : 08-117-23-33-0018 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERM[T <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW FOR NEW HOME PERMIT#20 1 5-005 07,PAID BY APPLICANT,STONEWOOD LLC-CK#13448-$2,500.00 <br /> APPLICANT ESCROW FEE- BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> Stonewood LLC Payment(s) <br /> 153 E LAKE ST CHECK 13448 2,500.00 <br /> WAYZATA,MN 55391- <br /> OWNER <br /> Stonewood LLC <br /> 153 E LAKE ST <br /> WAYZATA, MN 55391- <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 cons[ruc[ion 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. /u/ <br /> y/Lg /� U 7 � �� / <br /> ' ant Permitee Signatur Date [ssued By Signature Date <br />