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CITY OF ORONO I�II�I�I��I�I�I�I9�II�IIII�INI <br /> . ; 2750 KELLEY PARKWAY * � 0 1 2 - 0 0 1 9 9 * <br /> DATE ISSUED: 03/16/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 679 MINNETONKA HGLD LA <br /> PIN : 06-117-23-44-0008 <br /> LEGAL DESC : MINNETONKA HIGHLANDS ESTATES <br /> : LOT 004 BLOCK 002 Ci_t-y of Orar�o <br /> PERMIT TYPE : ESCROW FEE-APPLICANT 2750 Kelley Parkway <br /> Qrora MI 5535fi 952-�49-4fi00 <br /> PROPERTY TYPE : RESIDENTIAL <br /> Receipt No: 3.006539 Mar 16, 2012 <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> 2012-00196 / 679 Mtka Nighla�s <br /> NOTE: ESCROW FOR STAIRWAY TO LAKE-PERMIT#2012-00198 planning and Taning <br /> �012-�i9A / 679 I�ka 2,000.40 <br /> Highlands Esc�^oa <br /> 10I-22205 <br /> Deferred Rev-Developer Deposit <br /> Total: 2,0�.00 <br /> Check <br /> Check No: 6430 2,000.40 <br /> Payor: <br /> 2412-00198 / 679 Mtka Highlands <br /> Total Applied: 2,OOO.UO <br /> Change Tendered: .00 <br /> 03/16/2012 42:27PMr <br /> APPLICANT ESCROW FEE-APPLICANT 2,000.00 <br /> NELSON,ROBERT&VICKY TOTAL 2,000.00 <br /> 679 MINNETONKA HGLD LA <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> NELSON,ROBERT&VICKY <br /> 679 MINNETONKA HGLD LA <br /> LONG LAKE,MN 55356- <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 construction 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 are <br /> requested in confortnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ./����. 3 i �Co i � � 6yricc�n �' i 3-/�-/a- <br /> Applicant Permitee Signature � Date Issued B Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />