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� <br /> - CITY OF ORONO * Z 0 1 5 - 0 1 4 9 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: lUi9/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 515 KOKESH FARM RD <br /> PIN : 31-118-23-14-0009 <br /> LEGAL DESC : KOKESH FARMS <br /> : LOT 001 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: ESCROW TIED TO NEW HOME PERMIT#2015-01489-PAID BY OWNERS,LITECKY'S-CK#7062-$2,500.00 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> LITECKY,MARK&ANITA Payment(s) <br /> 515 KOKESH FARM RD CHECK 7062 2,500.00 <br /> MAPLE PLAIN,MN 55359- <br /> OWNER <br /> LITECKY,MARK&ANITA <br /> 515 KOKESH FARM RD <br /> MAPLE PLAIN,MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit 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 dces <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permi[will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 days of the date of issuance,or if consWction 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' conformance with the State Building Code.This permit may be (��� <br /> revok at an time for due cause. � ���C� <br /> �1/� �- � :,� P��s� <br /> . r i, <br /> A ermitee Si ature Date Issued By Signature Date <br />