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111111111 11111II II II 1111111111111111111 <br /> CITY OF ORONO <br /> * 2012 - 00633 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/03/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2875 WEAR CIR <br /> PIN : 33-118-23-34-0004 <br /> LEGAL DESC : UNPLATTED 33 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS$600 ESCROW IS TIED TO DECK BUILDING PERMIT#2012-00582. WE ARE TAKING THE$600 FROM THE ORIGINAL <br /> $2500 ESCROW THAT WAS PAID FOR BUILDING PERMIT#2010-00109. <br /> APPLICANT ESCROW FEE-BUILDING 600.00 <br /> GUIMOND ET AL, SHARON R TOTAL 600.00 <br /> 2875 WEAR CIR <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> GUIMOND ET AL, SHARON R <br /> 2875 WEAR CIR <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 By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />