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� � CITY OF ORONO * Z 0 1 4 - 0 0 0 3 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: Ol/13/2014 <br /> ORONO, MN 55356- <br /> 952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 1376 NORTH ARM DR <br /> PIN : 07-117-23-41-0052 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 000 BLOCK 008 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: TIED TO BUILDING PERMIT 2013-01306 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> FIELDSTONE FAMILY HOMES Payment(s) <br /> 801 CLIFF RD E CHECK 5505 2,500.00 <br /> BURNSVILLE,MN 55337- <br /> (952)469-8800 <br /> Minnesota State License#: BUIL-BC631164 <br /> OWNER <br /> BOWEN, WILLIAM <br /> 1376 NORTH ARM DR <br /> MOLJND,MN 55364- <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 does <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 applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ���9�� �� i -- r ��l y� � , <br /> Applicant Permitee Signature Date Issued By ' nature � Date <br />