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, .. CITY OF ORONO PERMIT NO.: 2011-01161 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ►SSUED: 09/30/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 120 CREEK RIDGE PASS <br /> PIN : 03-117-23-12-0014 <br /> LEGAL DESC : CREEKSIDE IN ORONO <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-OTHER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-OTHER <br /> NOTE: ESCROW FOR"IEMYORARY CERTIFICATE OF OCCUPANCY BUILDING PERMIT 20 1 1-00 1 00 <br /> PAID 13Y MICI IAGL&SUSAN GUSTAFSON- CIiECK 133$10,000.00 <br /> APPLICANT ESCROW FEE-OTHER 10,000.00 <br /> GUSTAFSON, MICHAEL& SUSAN TOTAL 10,000.00 <br /> 1000 SHELARD PKWY#300 <br /> MINNEAPOLIS, MN 55426- <br /> OWNER ` ` <br /> �'SU F;e:I�y r h.�,: <br /> GUSTAFSON, MICHAEL& SUSAN ���,;n,� �� �_;�_r; �'_� - � <br /> 1000 SHELARD PKWY#300 <br /> MINNEAPOLIS,MN 55426- �e�:cipt NG: 3.005�'�1 5ep �t;�, :". <br /> `�;�`�ael Gustafs <br /> AGREEMENT AIVD SWORN STATEMENT ^��,�n�n and Z��E.- .: <br /> The work ibr which this permit is issued shall be perfonned according to �'`1—�1�61 LZC � <br /> the approved plans and specitications,applicable City approvals,and [he i�q� r�a55 <br /> State Building Code. This pennit is for only the work described and does c�cd,`� <br /> not grant permission for additional or related work which reyuires separate �`�'err ed Rev-�eveloper De�( : <br /> permits. All provisions of laws and ordinances goveming this typc of work - <br /> shall be compied with whether or not specitied herein.This permi[will :,..... 1G�'iUi'. <br /> ------------. <br /> expire and become null and void if construction authorized is not <br /> ----^-------- <br /> commenced within 180 days of the date of issuance,or if construction is -'�' 1G��OG ,^ <br /> suspended for a period of 180 days at any time after work has commenced. �_'�P.Ck �G: 73� ��'`�' <br /> The a licant is res onsiblc for assurin all re uired ins ections are ��y�r' <br /> Pp P € Q P � h`c �i��4t3F;,-,r; <br /> requested in conformance with the Sta[e E3uilding Code.This permit may be _ lO�OOO.�' <br /> revoked at any time f'or due cause. '" _.________ <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />