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' � . CITY OF ORONO * z 0 1 Z - PJ PJ 1 4 9 * <br /> 27�0 KELLEY PARKWAY pATE�SSUE�: 02/22/2012 <br /> ORONO, MN 55356- <br /> 9�2 249-4600 FAX: 9�2 249-4616 <br /> ADDRESS : 780 BROWN RD N <br /> PIN : 34-118-23-11-0002 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1275 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: 12-3547 ZONING AYY <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> STAVIG,JOHN&PHOEBE TOTAL 2,500.00 <br /> 780 BROWN RD N <br /> LONG LAKE, MN 55356- <br /> (612)625-2485 <br /> OWNER <br /> STAVIG, JOHN& PHOEBE <br /> 780 BROWN RD N <br /> LONG LAKE, MN 55356- <br /> AGREEMENT ANll SWORN STATEMENT <br /> l�he N�ork for which this permit is issued shall be performed according to <br /> the approvcd plans and specifications.applicable Ci[y approvals,and the <br /> State Building Code. "rhis 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 govemine this type of work <br /> shall be compied with whether or not specifed herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced�-ithin 1 RO davs of the date of issuance,or if construction is <br /> suspended for a period of]80 days at any time afier work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This pennit may be <br /> revoked at anv time for due causc. <br /> / / / / <br /> Applicant Permitee Signature Date Issued B��Signature - ��'Date <br /> SEPARATE PERMITS KEQUIRED FOR WORK OTHER THAN DESCRIBED ABO�E. <br />