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CITY OF ORONO I �' I' I II' I <br /> t ` * <br /> 2750 KELLEY PARKWAY * 2 1 6 - 0 0 1 <br /> DATE ISSUED: 08/11 7/22 016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1100 OLD CRYSTAL BAY RD S <br /> PIN : 09-117-23-14-0001 <br /> LEGAL DESC : UNPLATTED 09 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$700 ESCROW IS TIED TO ZONING APPLICATION 16-3859 <br /> APPLICANT ESCROW FEE-APPLICANT 700.00 <br /> GRAHAM,ROBERT GUMNIT AND FRANCES TOTAL 700.00 <br /> Payments) <br /> P.O.BOX 85 CHECK 9526 700.00 <br /> CRYSTAL BAY,MN 55323- <br /> OWNER <br /> GRAHAM,ROBERT GUMNIT AND FRANCES <br /> P.O.BOX 85 <br /> CRYSTAL BAY,MN 55323- <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 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 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 /> Applicant Permitee Signature Date Issued By Signature Date <br />