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''�-" �J CITY OF ORONO rERMiT No.: 2011-00419 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 06/06/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 340 LEAF ST <br /> PIN : 04-117-23-23-0008 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.230 <br /> : LOT 028 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$2500 ESCROW IS TIED TO BUILDING PERMIT#2011-00156-PAID BY BETH MARASIMOWICZ <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> JUUSOLA&BETH H,BRENT <br /> 340 LEAF ST TOTAL 2,500.00 <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> JUUSOLA&BETH H,BRENT <br /> 340 LEAF ST <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The 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. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires sepazate <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 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 /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />