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CITY OF ORONO * 2 0 1 5 — 0 1 5 4 8 * <br /> , , 2750 KELLEY PARKWAY DATE ISSUED: 12/1U2015 <br /> ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 795 LAKEV[EW PKWY <br /> PIN : TOOOl08 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 3 BLOCK 2 <br /> PERM[T TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILD[NG PERMIT <br /> NOTE: ESCROW FOR NEW HOME PERM[T#2015-01236-PA[D BY:GONYEA HOMES-CK#10551-$2,500.00 <br /> APPLICANT ESCROW FEE- BU[LDING 2,500.00 <br /> TOTAL 2,500.00 <br /> GONYEA HOMES Payment(s) <br /> 6102 OLSON MEMORIAL HIGHWAY CHECK 10551 2,500.00 <br /> GOLDEN VALLEY, MN 55427- <br /> (612)741-9069 <br /> Minnesota State License#: BUIL-2459 <br /> OWNER <br /> Source Land Development[nc. <br /> 18215 45TH AVE N <br /> STE D <br /> PLYMOUTH, MN 55446- <br /> AGREEMENT AND SWORN STATEMEIYT <br /> The work for which this permit is issued shall be performed according ro <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permi[is for only the work described and does <br /> not grant permission 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 with whether or not specified herein.This permit will <br /> expire and become null and void if construction au[horized 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. /� �:�, <br /> l. <br /> . IZ � I I -I`� � L`� �� ���.L� �S v i � � � � � �, <br /> Applicant Permitee Signature Date Issued By Signature ` Date <br />