2012-00497 - escrow fee - Laserfiche WebLink

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CITY OF ORONO * 2 0 1 2 - 0 0 4 9 7 * 2750 KELLEY PARKWAY DATE ISSUED: 06/OS/2012 r � ORONO, MN 55356- � 952 249-4600 FAX: 952 249-4616 ADDRESS : 4355 CHIPPEWA LA PIN : 31-118-23-42-0020 LEGAL DESC : N/A : LOT 000 BLOCK 000 PERMIT TYPE : ESCROW FEE-APPLICANT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-APPLICANT ,�. v�i�'n s �h�i I�55,��- NOTE: EROSION CONTROL ESCROW BUILDING PERMIT 2012-00452 ;ou: '1.�!" i��'. . _ roi ,:,-;Y�;-,c . �,s..C.��.�,, _�,'�''Ghtl .. �.'f'`:i4... ,..1. '��' .. . .t: -.._.._..,t,'5f'�3.'' !��k ?�t I38bE `2,`.'�7�'• '�yJP:' ` ��-Y1 YOUY�q � �{; APPLICANT ESCROW FEE-APPLICANT 2,500.00 YOUNG,JOHN&LYNN TOTAL 2,500.00 4355 CHIPPEWA LA MAPLE PLAIN,MN 55359- OWNER YOUNG,JOHN& LYNN 4355 CH[PPEWA LA MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT The work for which[his permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the S[ate Building Code.This permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.