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- �,F� CITY OF ORONO * z 0 1 5 - 0 0 5 7 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/1 U2015 <br /> ORONO, MN 55356- �� �►w <br /> 952 249-4600 FAX: 952 249-4616 llb <br /> ADDRESS : 3375 GRAHAM HILL RD <br /> PIN : OS-117-23-11-0018 <br /> LEGAL DESC : GRAHAM HILL PRESERVE 2ND ADDITION <br /> : LOT 1 BLOCK 1 <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 BUILDING PERMIT 20 1 5-005 70 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> ESCROW FEE-EROSION CONTROL 0.00 <br /> WOODDALE BUILDERS INC. ESCROW FEE-GRADING 0.00 <br /> 6117 BLUE CR DR <br /> MINNETONKA,MN 55343- TOTAL 2,500.00 <br /> (952)345-0543 Payment(s) <br /> Minnesota State License#: BUIL-BC002926 CHECK 82837 2,500.00 <br /> �ity or urono <br /> OWNER 2750 Kelley Parkway <br /> Orono MN 55356 952-249-4600 <br /> WOODDALEBUILDERS, F Receipt No: 3.013370 May 11, 2015 <br /> 6117 BLUE CIRCLE DR,STE 101 <br /> MINNETONKA, MN 55343- Wooddale Builders <br /> Previous Balance: .00 <br /> Permits <br /> 3375 Graham Hill Road 2.500.00 <br /> AGREEMENT AND SWORN STATEMENT Escrow <br /> 101-22205 <br /> The work for which this permit is issued shall be performed according to Deferred Rev-Developer Deposi t <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and dces Total: 2,500.OU <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 Check <br /> shall be compied with whether or not specified herein.This permit will CheCk No: 82837 2,500.00 <br /> expire and become null and void if construction au[horized is not Payor: <br /> commenced within 180 da s of the date of issuance,or if construction is Woodda 1 e Bu i 1 ders <br /> y ` Total Applied: 2,500.OU <br /> s�spended for a period of 180 days at any time after work has commenced. <br /> ------------ <br /> The applicant is responsible for assuring all requiced inspections are Change Tendered: .00 <br /> requested in conformance with the State Building Code.This permit may be _______________ <br /> revoked at any time for due cause. 05/11/2015 U 1:23PM <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />