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. _ � ,� <br /> � CITY OF ORONO * 2 0 1 � — 0 B 9 5 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/10/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 770 NORTH ARM DR <br /> PIN : 06-117-23-43-0009 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.362 <br /> : LOT 006 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: THIS$700 ESCROW IS TIED TO BUILDING PERMIT 20U-00834 PD CHECK#2015 BY JEFF CARLSON <br /> APPLICANT ESCROW FEE-BUILDING 700.00 <br /> TOTAL 700.00 <br /> CARLSON,JEFFREY Payment(s) <br /> 770 NORTH ARM DR CHECK 2015 700.00 <br /> MOLJND,MN 55364- <br /> OWNER <br /> CARLSON,JEFFREY <br /> 770 NORTH ARM DR <br /> MOLJND,MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he 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 and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The app1icant 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 />