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' � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 z - 0 0 8 2 6 * <br /> DATE ISSUED: 08/22/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1430 CHERRY PL <br /> PIN . 08-117-23-33-0015 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$700 GSCROW IS TIED TO LAND LJSE APPLICA"I�ION#12-3574-PD CHECK 7066-CI-IRISTOPHER PATNODE <br /> APPLICANT ESCROW FEE-DEVELOPER 700.00 <br /> PATNODE, CHRISTOPHER TOTAL 700.00 <br /> 1430 CHERRY PL <br /> MOLJND, MN 55364- <br /> OWNER <br /> PATNODE, CHRISTOPHER <br /> 1430 CHERRY PL <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work tor which this permit is issued shall be performed according to <br /> thc approved pians and specifications,applicable City approvals,and the � <br /> State Building Code. This permit is for only the work descrihed and does <br /> not grant permission tbr 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 au[horized 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 anv 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 />