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�� � CITY OF ORONO <br /> * 2 0 1 4 - 0 1 0 5 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/17/2014 <br /> ORONO, MN 55356- <br /> 952) 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2507 KELLY AVE <br /> PIN : 20-117-23-12-0063 <br /> LEGAL DESC : NAVARRE COVE <br /> : LOT 003 BLOCK 001 <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$2,000.00 ESCROW IS TIED TO ZONING PERMIT 2014-01049 <br /> APPLICANT ESCROW FEE-BUILDING 2,000.00 <br /> ESCROW FEE-EROSION CONTROL 0.00 <br /> FREDRICKSON,DAVE&JUDY ESCROW FEE-GRADING 0.00 <br /> 2507 KELLY AVE <br /> EXCELSIOR,MN 55331- TOTAL 2,000.00 <br /> Payment(s) <br /> CHECK 6007 2,000.00 <br /> OWNER <br /> FREDWCKSON,DAVE&JUDY <br /> 2507 KELLY AVE <br /> EXCELSIOR, MN 55331- <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 sepazate <br /> permits. All provisions of laws and ordinances goveming 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 construc[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 aze <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 />