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� CITY OF ORONO * z 0 1 2 - 0 0 q 1 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/12/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1370 CHERRY PL � <br /> PIN : 08-117-23-32-0022 <br /> LEGAL DESC : SAGA HILL REVISED CitY of Oror�o <br /> : LOT 000 BLOCK O11 275Z� I{elley Parkway <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT Orano t�d 5535E� 952-�49-4bOG <br /> PROPERTY TYPE : RESIDENTIAL Receipt P{o: 3.4�76Gd Sep 1C, ct�l� <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> Erik Nafstad <br /> NOTE: ESCROW TIED TO DEMO PERMIT#NOT ISSUED YET-PAID W/CK#5083 Planning an� Zoninq <br /> 137U Cherrv flve - For 2,�r}p,{ip <br /> Demo Permi� <br /> 101-^u^P05 <br /> Qeferred Rev-Develaper De�sit <br /> ::i — (--�- 1.�- Total: � c,`UO.OU <br /> __=____—== <br /> �i�'l'�C Check <br /> " Check No: 5483 t,5�{i.fx) <br /> � �..�'����'�i � Payor: <br /> Erik I�afstad <br /> j1L-� ������ Total Rpplied: c,SGU.UU <br /> r ���.� Change Tendered: �--�---,�p <br /> t C r" __--- =---__ <br /> 49/12/201� G8:564�I <br /> �-{��, I � i (n -�� <br /> C"r�C�F- C'�i'Y��; . <br /> � ��, . <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> NAFSTAD,ERIK TOTAL 2,500.00 <br /> 1370 CHERRY PL <br /> MOLJND,MN 55364- <br /> OWNER <br /> NAFSTAD, ERIK <br /> 1370 CHERRY PL <br /> MOUND, MN 55364- <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 no[specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 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 /> Appl�cant Yermitee Signature Date lssued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />