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� � CITY OF ORONO * 2 fd 1 2 — P1 0 2 0 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUE�: 03/2U2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> AnDRESS : 1390 CHERRY PL <br /> PIN : 08-117-23-32-0023 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 000 BLOCK O11 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: ESCROW FEE FOR PERMIT#2012-00205 FOR RETAINING WALL&STAIRWAY TO LAKE <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> BLOUNT, TERRY&GRETCHEN TOTAL 2,500.00 <br /> 1390 CHERRY PL <br /> MOUND,MN 55364 <br /> (952)47]-7326 <br /> OWNER <br /> BLOUNT, TERRY &GRETCHEN <br /> 1390 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 /> S[ate 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 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 after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due ca�se. <br /> l l ;� �,�� C c C77'C[ti7 ��� � `� •,�J '`� <br /> Applicant Permitee Signature Date -'"� <br /> Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />