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CITY OF ORONO PERMIT NO.: 2009-00417 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 07/17/2009 <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 70 WEAR LA S <br /> PIN : 04-117-23-21-0019 <br /> LEGAL DESC : ROLLING MEADOWS 4TH ADDITION <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-BUILDING PERMIT <br /> NOTE: ESCROW FOR EROSION CONTROL-BUILDING PERMIT 2009-00351 <br /> APPLICANT ESCROW FEE-EROSION CONTROL 2,000.00 <br /> PFEIFFER,JASON&JONI TOTAL 2,000.00 <br /> P.O. BOX 196 <br /> CRYSTAL BAY,MN 55323- <br /> OWNER <br /> PFEIFFER,JASON&JONI <br /> P.O.BOX 196 <br /> CRYSTAL BAY,MN 55323- <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 c nformance with the State Building Code.This permit may be <br /> revoked at time for due c <br /> j� J � --- 7 / 1 `1 / 06)1 <br /> Applic t Permitee Signature Date Issued By gnature ►.`ste <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV <br />