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CITY OF ORONO I I I 11I I I1I I I 111 I II I <br /> 2750 KELLEY PARKWAY * 2 1 ISS - 0 1 0 2 8 <br /> DATE ISSUED: 08/25/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3083 FARVIEW LA <br /> PIN : 04-117-23-33-0005 <br /> LEGAL DESC : FARVIEW <br /> : LOT 003 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: ESCROW FOR DEMO PERMIT#2016-01027-PAID BY:SUSAN&BRENT FISCHER-CK#1595-$2,500.00 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> FISCHER, SUSAN&BRENT TOTAL 2,500.00 <br /> Payment(s)3083 FARVIEW LA <br /> CHECK 1595 2,500.00 <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> FISCHER, SUSAN&BRENT <br /> 3083 FARVIEW 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 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. n- <br /> • <br /> Applicant Permte{ a Signature Date Issued By Signature Date <br />