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CITY OF ORONO * 2 0 1 4 - 0 1 3 8 6 * <br /> � � 2750 KELLEY PARKWAY DATE ISSUED: 12/OV2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : ;235 GRAHAM HILL RD <br /> PIN : OS-117-23-14-0068 <br /> LEGAL DESC : GRAHAM HILL PRESERVE <br /> : LOT 4 BLOCK 1 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDFNTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE -TIED TO BUILDING PERMIT <br /> NOTE: THIS$2500 ESCROW IS TIED"I�O BUII.DING PERM1��201401206 <br /> APPWCANT ESCROW FEE- BUILDING 2,500.00 <br /> ESCROW FEE- EROSION CONTROL 0.00 <br /> KILL, BOB&COUIZTNEY ESCROW FEE-GRADING 0.00 <br /> 3235 GRAHAM HILL RD <br /> LONG LAKE, MN 55356- TOTAL 2,500.00 <br /> Payment(s) <br /> CHF,CK 3859 2,500.00 <br /> OWNER <br /> KILL, BOB& COURTNEY <br /> 3235 GRAHAM HILL RD <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> l�he�vork ibr which this permit is issued shall be performed accordine to <br /> thc approved plans and specifications,applicable City approvals,and thc <br /> State L3uilding Code. This permit is for only Ihe work described and does <br /> not grant perniission 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 wiUi Ndicther or not specitied herein."I�his permit will <br /> espire and become null and void if eonstruction authorized is not <br /> commenced within 180 days oCthe date of issuancc,or it�construction is <br /> suspended tor a period of 180 days at any time atter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with thc Statc F3uilding Code.This permit may bc <br /> revuked at any time for due cause. <br /> / / <br /> Applicant Pcrmitec Signature Date Issued [3y Signature Date <br />