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CITY OF ORONO * 2 0 1 5 - 0 1 1 3 6 * <br /> ' y 2750 KELLEY PARKWAY DATE ISSUED: 09/09/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> AflDRESS : 1169 NORTH ARM DR <br /> PIN : 07-117-23-14-0060 <br /> LEGAL DESC : SKARP&LINDQUISTS FERNHII.L LA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> So�oZ9 <br /> NOTE: ESCROW FOR ZONING PERMIT#201�00990-PAID BY:OWNER,MAX HOLMES-CK# -a2,000.00 <br /> APPLICANT ESCROW FEE-APPLICANT 2,000.00 <br /> TOTAL 2,000.00 <br /> HOLMES&AMANDA ABRAHAMSON,MAXIMILLIAN payment(s) <br /> 1169 NORTH ARM DR CHECK 50029 2,000.00 <br /> MOLJND,MN 55364 <br /> OWNER <br /> HOLMES&AMANDA ABRAHAMSON,MAXIMILLIAN <br /> 1169 NORTH ARM DR <br /> MOUND,MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he work for which this pertnit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. 1'his 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 governing 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 suthorized 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 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 />