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. ` � ` , CITY OF ORONO * 2 0 1 4 - 0 1 3 3 9 * <br /> - �' • 2750 KELLEY PARKWAY DATE ISSUED: 1 U17/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 3536 LYRIC AVE <br /> PIN : 17-117-23-43-0056 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 000 BLOCK 004 <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 DEMOLITION PERMIT 201400907 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00' <br /> ESCROW FEE-EROSION CONTROL 0.00 <br /> GULLICKSON,FRITZ ESCROW FEE-GRADING 0.00 <br /> 3536 LYRIC AVE TOTAL 2,500.00 <br /> WAYZATA, MN 55391- <br /> Payment(s) <br /> CHECK 5069 2,500.00 <br /> OWNER <br /> GULLICKSON,FRITZ City of Oronn <br /> 3536 LYRIC AVE 2750 Kelley Parkway 952-249-4600 <br /> WAYZATA,MN 55391- Orono MN 55356 <br /> Receipt No: 3.012268 Nov 17, 2014 <br /> AGREEMENT AND SWORN STATEMENT Fritz Gullickson <br /> Previous Balance: .00 <br /> The work for which this permit is issued shall be performed according to perm i ts 2,500.UO <br /> the approved plans and specifications,applicable City approvals,and the 2014-01339 3536 Lyric <br /> State Building Code. This permit is for only the work described and does AVe <br /> not grant permission for additional or related work which requires separate 101-22205 <br /> permits. All provisions of laws and ordinances governing this type ofwork Deferred Rev-Developer Deposit <br /> --------------- <br /> shall be compied with whether or not specified herein.This permit will 2,500.00 <br /> expire and become null and void if construction authorized is not Total: ______________� <br /> commenced within 180 days of the date of issuance,or if construction is CheCk 2,500.00 <br /> suspended for a period of 180 days at any time after work has commenced. CheCk No: 5069 <br /> The applicant is responsible for assuring all required inspections are payor: <br /> requested in conformance with the State Building Code.This permit may be Frl tz Gu111r,ksuri � 5�p.�0 <br /> revoked at any time for due cause. Total Appl ied' _________ <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />