Laserfiche WebLink
' CITY OF ORONO * 2 0 1 5 - 0 1 4 6 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U16/2015 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1120 COX FARM RD <br /> PIIY : 27-118-23-31-0021 <br /> LEGAL DESC : SHADOWOOD FARM <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERM[T <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: "I'H[S ESCROW IS TIED TO BU[LDING PERMIT-2015-00902 <br /> APPLICAI�IT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> WAGENER,GREGORY& LAURA Payment(s) <br /> 1120 COX FARM RD CHECK 5726 2,500.00 <br /> LONG LAKE, MN 55356- <br /> OWNER <br /> WAGENER,GREGORY& LAURA <br /> 1120 COX FARM EZD <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 specifica[ions,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 separa[e <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 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 inspec[ions are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />