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CITYOFORONO * z016 - 0PJ836 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/19/2016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3295 CARMAN RD <br /> PIN : 20-117-23-14-0014 <br /> LEGAL DESC : CARMAN COVE <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS ESCROW IS TIED TO ZONING PERMIT 2016-00835-STAIRWAY TO THE LAKE-PD BY:JAMES&DEVON DIEBEL-CK <br /> #2245-$2,000.00 <br /> APPLICANT ESCROW FEE-APPLICANT 2,000.00 <br /> TOTAL 2,000.00 <br /> DIEBEL,JAMES&DEVON <br /> 3295 CARMAN RD Payment(s) <br /> CHECK 2245 2,000.00 <br /> EXCELSIOR,MN 55331- <br /> OWNER <br /> DIEBEL,JAMES&DEVON <br /> 3295 CARMAN RD <br /> EXCELSIOR,MN 55331- <br /> AGREEMENT AND SWORN STATEMENT <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 addi[ional or related work which requires separate <br /> permiu. 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 /> revoked at any time for due cause. <br /> �� C� �- ���-C C` S C, � / ��7/ /(� <br /> Applicant Permitee Signature Date Issued By Sign ture Date <br />