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' - CITY OF ORONO * 2 0 1 6 - 0 0 9 8 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: O8/18/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2801 FOX ST <br /> PIN : 04-117-23-34-0004 <br /> LEGAL DESC : FARVIEW <br /> : LOT 001 BLOCK 003 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$2500 ESCROW[S FOR SANITARY SEWER EXTENSION TO THIS PROPERTY <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> TOTAL 2,500.00 <br /> NOLAND, RICHARD Payment(s) <br /> 2801 FOX ST CHECK 6759 2,500.00 <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> NOLAND, RICHARD <br /> 2801 FOX ST <br /> LONG LAKE,MN 55356- <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 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 l SO days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer 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[ime for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />