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CITY OF ORONO PERMIT NO.: 2010-00136 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 03/11/2010 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> l <br /> ADDRESS : 40 WEAR LA N <br /> PIN : 33-118-23-34-0010 <br /> LEGAL DESC : ROLLING MEADOWS 2ND ADDN <br /> : LOT 001 BLOCK 003 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: , <br /> THIS ESCROW IS TIED TO BUILDING PERMIT#2010-00100 FOR SEPTIC AT I I OG C r BID /Il <br /> APPLICANT ESCROW FEE-BUILDING 6,003.80 <br /> MASTERPIECE HOMES TOTAL 6,003.80 <br /> 127 EAST COUNTY RD C <br /> LITTLE CANADA,MN 55117- <br /> (651)484-3244 <br /> Minnesota State License#: 1435 <br /> OWNER <br /> HOFFMAN, HUGH J <br /> 40 WEAR LA 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 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 />