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,, CITY OF ORONO PERMIT 1v0.: Zoiaoo6s� <br /> �• 2750 KELLEY PARKWAY <br /> �` ORONO, MN 55356- DATE �SSUED: 08/03/2010 <br /> � <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3060 SIXTH AVE N <br /> PIN : 28-118-23-32-0014 <br /> LEGAL DESC : LESLIE ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: SPORT COURT-ESCROW FOR EROSION CONTROL&ENGINEERING REVIEW <br /> CHECK BY ULTIMATE RESTORATION INC. <br /> ZONING PERMIT#2010-00656 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> KOSEK, CHRISTOPHER& HEATHER TOTAL 2,500.00 <br /> 3060 SIXTH AVE N <br /> LONG LAKE, MN 55356 <br /> OWNER <br /> KOSEK,CHRISTOPHER& HEATHER <br /> 3060 SIXTH AVE N <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 separate <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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / C�� / / <br /> Applicant Permitee Signature Date Issued B gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />