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CITY OF ORONO * z 0 1 6 — 0 PJ 5 2 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/13/2016 <br /> e 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 BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW TIED TO BUILDING PERMIT#2016-00503 &ZONING PERMIT#2016-00506-PAID BY:OWNER,PETER STAHI,- <br /> $700.00-CK#5337 <br /> APPLICANT ESCROW FEE-BUILDING 700.00 <br /> STAHL&CYNTHIA ARNOLD, PETER TOTAL 700.00 <br /> 2755 DEER Ri1N TR E Payment(s) <br /> LONG LAKE,MN 55356- CHECK 5337 700.00 <br /> OWNER <br /> STAHL&CYNTHIA ARNOLD,PETER <br /> 2755 DEER RLJN TR E <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,app►icable 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 goveming 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 applicarit 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 cau . <br /> � ��, <br /> Z'1/��� I �-�'�'� ��`�S L' � i / -�i � � <br /> App icant Permitee Signature Date Issued By Signature Date <br />