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' •� CITY OF ORONO PERMIT NO.; 20�2-0002s <br /> - • 2750 KELLEY PARKWAY <br /> • ORONO,MN 55356- DATE ISSUED: OU10/2012 <br /> � ' 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2900 DEER RUN TR <br /> PIN : 04-117-23-24-0013 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN <br /> : LOT 008 BLOCK 004 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> C01�1STRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW TIED TO BUILDING PERMIT#2011-01554-PD BY OWNER CK#9662 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> KACZKE,ROBERT&JILL TOTAL 2,500.00 <br /> 2900 DEER RUN TR <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> KACZKE,ROBERT&JILL <br /> 2900 DEER RUN TR <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 pians 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 separate <br /> permits. All ptovisions 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 wnshuction 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 conformance with the State Building Code.This permit may be <br /> revoked at any time for due c . <br /> � �f�P�� � � � <br /> Applicant Permitee Signature Date � G�l�� � ` �/���� <br /> Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />