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CITY OF ORONO * 2 0 1 6 - 0 0 5 2 Z * <br /> 2750 KELLEY PARKWAY DATE �SSUEn: OS/13/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2755 DEER RUN TR E <br /> PIN : 04-117-23-13-0014 <br /> LEGAL DESC : CRYSTAL BAY PRESERVE <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BU[LDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BU[LD[NG PERMIT <br /> NOTE: ESCROW TIED TO BUILDING PERMIT#2016-00503 &ZONING PGRM[T#2016-00506-PAID BY:OWNF.R,PETER S"CAHI,- <br /> $700.00-CK#5337 <br /> APPLICANT ESCROW FEE-BUILDING 700.00 <br /> TOTAL 700.00 <br /> STAHL&CYNTHIA ARNOLD, PETER Payment(s) <br /> 2755 DEER RUN TR E CHECK 5337 700.00 <br /> LONG LAKE, MN 55356- <br /> OWNER <br /> STAHL&CYNTHIA ARNOLD, PETER <br /> 2755 DEER RUN TR E <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMEIVT <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 /> 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 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revo t any time for due cause. � , <br /> i� � <br /> , � � <br /> � "����� ����"' � 1 ���c �S� � �-� �� � l �-- <br /> Applicant Permitee ' nature Date Issued By Signature Date <br /> I <br />