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.� <br /> � CITY OF ORONO PERMIT NO.: 2011-00370 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssUEn: 05/19/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> RL-'PRINTED ON 5/19/2011 <br /> ADDRESS : 115 CREEK RIDGE PASS <br /> PIN : 03-117-23-12-0013 <br /> LEGAL DESC : CREEKS[DE IN ORONO <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BU[LD[NG PERMIT <br /> NOTG: TH1S$2500.00 ESCROW WAS PAID I3Y CHARL�S CUDD -TIED TO BU[LDING PERM[T-#201 1-003 1 8 <br /> APPLICANT ESCROW FEE- BUILDING 2,500.00 <br /> PFE[FER,ANDY& MARNIE TOTAL 2,500.00 <br /> 115 CREEK RIDGE PASS <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> PFEIFER,ANDY & MARNIE <br /> l 15 CREEK RIDGE PASS <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The�+�ork for which this permit is issued shall be perlormed according to <br /> the approvcd plans and specitications,applicable City approvals,and thc <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 not specitied herein.This permit will <br /> expire and become null and void if construction aud�orized is not <br /> commei�ced 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 i�as commenced. <br /> "I�he applicant is responsible for assuring all requircd inspections are <br /> requested in confonnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> ApplicanC Pcrmitee Signature Date Issued By Signature Date <br /> SEPARATE PERM[TS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />