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' ' CITY OF ORONO PERMIT NO.: 2009-00585 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/14/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 200 BEDERWOOD DR <br /> PIN : OS-117-23-12-0027 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 203 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW PERMIT 2009-00514 WAS VOID-ESCROW PAID BY CONTRACTOR. <br /> THIS ESCROW PAYMENT OF$2500.00 WAS PAID ON 09/14/2009 BY THE HOMEOWNER,AL AZAD. <br /> PERMIT#2009-00585 PAID WITH CHECK#959412661 <br /> ESCROW TIED TO BUILDING PERMIT#2009-00513. <br /> APPLICANT ESCROW FEE- BUILDING 2,500.00 <br /> AZAD,ALISHAH TOTAL 2,500.00 <br /> 200 BEDERWOOD DR <br /> LONG LAKE, MN 55356- <br /> OWNER <br /> AZAD,ALISHAH <br /> 200 BEDERWOOD DR <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shail 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 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 I 80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time aftet 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 />