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CITY OF ORONO * 2 0 1 4 - PJ PJ 1 Z 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/1U2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3884 CHERRY AVE <br /> PIN : 08-117-23-33-0084 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 003 <br /> PERMIT TYPE : ESCROW FEE-OTHER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-OTHER <br /> NOTE: TIED TO BUILDING PERMIT 20 1 3-003 64 <br /> APPLICANT ESCROW FEE-OTHER 7,500.00 <br /> ENGLUND, DOUGLAS TOTAL 7,500.00 <br /> Payment(s) <br /> 3884 CHERRY AVE CHECK 122 7,500.00 <br /> P.O. BOX 285 <br /> MOUND, MN 55364- <br /> OWNER <br /> ENGLUND, DOUGLAS <br /> 3884 CHERRY AVE <br /> P.O. BOX 285 <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfbrmed accordinc[o <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 addi[ional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 afrer 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 /> � , � � 1' � Il �� � i i <br /> Applicant �ermi e Signature Date Issued By nature Date <br />