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CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 7 1 4 - 0 0 8 6 1 <br /> DATE ISSUED: 08/1)/2014 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: (952)249-4616 <br /> ADDRESS 200 TRUFFULA TR <br /> PIN 33-118-23-44-0039 <br /> LEGAL DESC MEADOW WOOD POND <br /> LOT 005 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: TIED TO BUILDING PERMIT 2014-0086'x. <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> ADAMS,MR.&MRS. Payment(s) TOTAL 2,500.00 <br /> 200 TRUFFULA TR CHECK 6894 2;500.00 <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> ADAMS,MR.&MRS. <br /> 200 TRUFFULA 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 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 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date Issued B gnature Date <br />