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� � .~ . .. , �� <br /> CITY OF ORONO * 2 0 1 3 — 1d 1 0 2 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/0]/2013 <br /> ORONO,MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 75 LEAF ST <br /> PIN � : OS-117-23-11-0014 <br /> LEGAL DESC : GRAHAM HII.,L PRESERVE 3 <br /> : LOT 1 BLOCK 3 � <br /> PERNIIT TYPE : ESCROW FEE-T'IED TO�UII.DING PERNIIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-T'IED TO BUII,DING PERMIT <br /> APPLICANT ESCROW FEE-BUII.,DING 2,500.00 <br /> KAPSNER,JASON&JULIE <br /> 760 DICKEY LAKE ROAD � TOTAL 2,500.00 <br /> LONG LAKE,MN 55356- <br /> C��it�y of Orono <br /> �750 Kelley Parkway <br /> Orano MN 55356 952-249-4600 <br /> OWNER Receipt No: 3.009798 Oct 1, 2413 <br /> KAPSNER,JASON&JULIE Julie Ka r�er <br /> 760 DICKEY LAKE ROAD PS <br /> LONG LAKE,MN 5535Cr Planning�a�r�d Zonin <br /> 2013-(f1�9 75 Lea� St 2,500.04 <br /> 101,�2205 � <br /> Deferred Rev-Daveloper De�si# � <br /> AGREEMENT AND SWORN STATEMENT <br /> The wark for which this peanit is issued shall be performed according to Jotal: �SQQ,Q(j ; <br /> the approved plans and specifications,applicable City approvals,and the �k --- ' <br /> State Building Code. This permit is for only the work described and dces {��k N0� 1847 I <br /> not gant pernrission for additional or related work which requires separate p� 2��•� I <br /> permits. All provisions of Iaws and ordinances goveming this type of work JU11B'I{�i�5T1Er � <br /> shall be campied wiffi whether or not specified herein.This permit will Total Appl ied: �QQ�Q() <br /> expire and become null and void if construction authorized is not � ' <br /> commenced within 180 days of the date of issuance,or if conswction is (�Ide92 TEhdEP'2d C ,(�} � <br /> suspended for a period of 180 days at any time after work has commenced. f <br /> The plicant is responsible for assuring all required inspections are 14/01/�013 12:40P�1 � <br /> ' conforman with the State Building Cod�This permit may be <br /> oked time for u cause. f _ I — �� <br /> � <br /> / / / / <br /> A plican ermitee S�gn Date Issue y ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK O'THE N DESCRIBED ABO <br />