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� . CITY OF ORONO PERMIT NO.: 2009-00311 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 553�6- DATE ISSUEn: 06/1U2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3825 CHERRY AVE <br /> PIN : 08-117-23-33-0089 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: ESCROW AGREEMENT SIGNED 06/1 U09 BY HOMEOWNER&RON OLSON. 1-COPY OWNER, 1 IN STREET FILE, 1-CASH <br /> DRAWER. <br /> HOMEOWNER PAID ESCROW FEE OF$5,000 WITH CHECK#1091 <br /> APPLICANT ESCROW FEE-APPLICANT 5,000.00 <br /> HERMAN, MATTHEW&AMY TOTAL 5,000.00 <br /> 3825 CHERRY AVE <br /> MOITND,MN 55364- <br /> OWNER <br /> HERMAN, MATTHEW&AMY <br /> 3825 CHERRY AVE <br /> MOLIND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perYormed 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�rant 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 /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />