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� CITY OF ORONO * 2 0 1 3 - 0 0 7 9 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/14/2013 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 � <br /> ADDRESS : 300 STUBBS BAY RD N <br /> PIN : 32-118-23-42-0005 <br /> LEGAL DESC : TAMARAK HILL <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$2500 ESCROW IS TIED TO BUILDING PERMIT 2013-00637 AND ZONING PERMIT 2013-00638-PD CHECK#5801 <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> FLEMING,THOMAS& SUSAN TOTAL 2,500.00 <br /> 300 STUBBS BAY RD N <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> FLEMING, THOMAS& SUSAN <br /> 300 STUBBS BAY RD 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 sepazate <br /> permits. All provisions of laws and ordinances governing this rype 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 /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />