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r � <br /> � CITY OF ORONO * z 0 1 z - 0 0 7 0 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/24/2012 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2850 SOMERSET LA <br /> PIN : 04-117-23-21-0013 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN <br /> : LOT 006 BLOCK 003 <br /> PERMIT TYPE : ESCROW FEE-OTHER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-OTHER <br /> NOTE: ESCROW FOR PERMIT 2012-00665 <br /> APPLICANT ESCROW FEE-OTHER 2,500.00 <br /> BARKLEY LANDSCAPES TOTAL 2,500.00 <br /> 10820 46TH PLACE N <br /> PLYMOUTH,MN 55447- <br /> (612)598-9895 <br /> OWNER <br /> TRANGSRUD&TERRY RASMUSSEN,JON <br /> 2850 SOIv1ERSET LA <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 sepazate <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 inspections aze <br /> requested in co�fortnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> \ V � f� � l l <br /> Applicant Permitee Signature Date Issued By Si a re Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />