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� J,1 <br /> CITY OF ORONO * z 0 1 3 - 0 PJ 9 7 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/18/2013 <br /> ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3059 FARVIEW LA <br /> PIN ; 04-117-23-33-0008 <br /> LEGAL DESC : FARVIEW <br /> : LOT 006 BLOCK OOl <br /> PERMIT TYPE ; ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> N07�1�: THIS$2500 ESCROW [S TIED TO 70NING APPLICA7�ION 13-3636-PD CHGCK#6097 <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> WANG, LIXIAO ESCROW FEE- DEVELOPER 0.00 <br /> 3059 FARVIEW LA <br /> LONG LAKE, MN 55356- TOTAL 2,500.00 <br /> OWIYER <br /> WANG, LlXIAO <br /> 3059 FARVIEW LA <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perlormed 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 /> pennits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.'I'his permit will <br /> expire and become null and void if�construction auUiorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period ot� 180 days at any time after work has commenced. <br /> 7�he applicant is responsible for assuring all required inspections are <br /> requested in contbrmance with the State E3uilding Code.This permit may be <br /> revoked at any time Yor due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />