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� • � CITY OF ORONO PERM�T No.: 2oil-000sl <br /> 2750 KELLEY PARKWAY � <br /> ORONO, MN »3�6- DATE ISSUED: 02/04/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3215 GRAHAM H1LL RD <br /> P[N : OS-117-23-]4-0066 <br /> LEGAL DESC : GRAHAM HILL PRESERVE <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE -TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: �SCROW OF$2500.00 PAID BY CHARLES CUDD-CK# 5023-2/4/2011 T(ED TO F3LDG PERMIT 201]-00075 <br /> APPLICANT <br /> ESCE�OW FEE-BUILDING 2,500.00 <br /> CHARLES CUDD LLC TOTAL �,500.00 <br /> 15050 23RD AVENUE N -� <br /> � PLYMOUTH, MN 55447- <br /> �) <br /> � Minnesota State License#: 20635245 <br /> OWNER <br /> KORSI. KEITH R,AMY <br /> 769 BOULDER DRIVE <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 1or oniy 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.This pennit will <br /> expire and become null and void if construction authorized is not <br /> commenced within I 80 days of the date.of issuance,or if construction is <br /> suspended for a period of 180 days at any time atter work has commenced. <br /> The applicant is responsible for assuring all required inspections arc <br /> requested in conformance with the State Buildin�Code.This permit may be <br /> revoked at anv time fior due cause. <br /> / / / 1 <br /> Applicant Permitee Signature Date � Issued I3��Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORh OTHER THAN DESCRIBED ABOVE. <br />