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� � � CITY OF ORONO PGRMIT NO.: 2011-00169 <br /> 27�0 KCLLEY PARKWAY <br /> ORONO, MN 55356- DATE [SSUCD: 03/22/2011 <br /> 9�2 249-4(00 FAX: 9�2 249-4616 <br /> ADDRESS : 3300 FOX ST <br /> PIN : 0�-1 17-23-4�1-0003 <br /> LEGAL DESC : REG. LAND SURVEY NO. L.i�8 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-T[ED TO BU►LDING PERMIT <br /> PROPGRTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : GSCROW FEE-TIED TO BU[LDING PERMIT <br /> NOTf��: TFIIS$2�00.00 GSCROW PAYMI�N'C IS TIGD TO 13UlLDING PBRNII�I'#201 1-0010�FOR 3300 FOX S"I�RI?E1' <br /> NAID FOR BY PROPERTY OWNGR-WILL[AM TRIJ[31?CK <br /> APPLICANT <br /> ESCROW FEE- BUILDING 2,�00.00 <br /> TRUBECK, WILLIAM &JUDITH TOTAL 2,500.00 <br /> 3300 FOX ST <br /> LONG LAKE, MN 55356- <br /> OWNER <br /> TRUBECK, WILLIAM & JUDITH <br /> 3300 FOX ST <br /> LONG LAKE, MN 5�356- <br /> AGRGEMENT AND SWORN STATGMENT <br /> The work for�vhich this permit is issued shall be perfonned according to <br /> the approved plans and specitications,applicable Cit}'approvals,and the <br /> State f3uilding Code. This permit is for only the work describcd and does <br /> not grant pennission for additional or related���ork which requires separate <br /> permits. All provisions of la���s and ordinances�overninc diis type of work <br /> shall be compied���ith e��hether or not specificd herein.This pennit will <br /> expire and become null and void if construction authorizcd is not <br /> commenced���ithin 1 SO days of the date of issuance,or if construclion is <br /> suspendcd for a period of�I 30 days at am time atier work has cominenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in contbrm��nce���ith tlie State f3uildin_Code.l�his permit may be <br /> revoked�t any[ime For duc cause. � <br /> / / / / <br /> Applicant Permitec Si�ntllure Datc Issue�l L3y Signa[ure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHGR THAN DESCRIBED ABOVE. <br />