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� ' ' ` ` CITY OF ORONO <br /> 2750 KELLEY PARKWAY '�` 2 0 1 6 — PJ 0 1 4 7 * <br /> DATE ISSUED: 02/1U2016 <br /> ORONO, MN 55356- <br /> 952)249-4600 FAX: (952 249-4616 <br /> ADDRESS : 3438 LYRIC AVE <br /> PIN : 17-117-23-43-0077 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 023 BLOCK 005 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$2500 ESCROW IS TIED TO ZONING APPLICATION#16-3811 <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> TOTAL 2,500.00 <br /> Landsource LLC Payment(s) <br /> KOHOUT,JAMISON CHECK 001295 2,500.00 <br /> 550 25TH AVE N <br /> ST CLOUD,MN 56303- <br /> OWNER <br /> Landsource LLC <br /> KOHOUT,JAMISON <br /> 550 2STH AVE N <br /> ST CLOUD,MN 56303- <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 for only the work described and dces <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 acid become null and void if construction suthorized is not <br /> commenced within 180 days of the date of issuance,or if conshvction is <br /> suspended for a period of 1 SO days at any time after work has commenced. <br /> 1'he applicant 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 Permitee Signature Date Issued By Signature Date <br />