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� � CITY OF ORONO PERMIT NO.: 2012-000�5 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssUED: O1/25/2012 <br /> 952 249-4600 FAX: 9�2 249-4616 <br /> ADDRESS : 3340 GRAHAM HILL RD <br /> PIN : OS-117-23-11-0012 <br /> LEGAL DESC : GRAHAM HILL PRESERVE 2 <br /> : LOT 4 BLOCK 2 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTF.: THIS$2500 ESCROW IS TIED TO BUILDING PERMIT#2011-01537 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> MCCARTY, LEROY&LISA TOTAL 2,500.00 <br /> 3340 GRAHAM HILL ROAD <br /> LONG LAKE, MN 55356- <br /> OWNER <br /> MCCARTY, LEROY& L1SA <br /> 3340 GRAHAM HILL ROAD <br /> LONG LAKE,MN 5�35Cr <br /> AGREEMENT AND SWORN STATEMEIVT <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. AII provisions of laws and ordinances governin�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 no[ <br /> commenced within 18(l 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 appiicant 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 cause. <br /> / / / / <br /> Applicant Yermi[ee Signature Date Issued By°Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />