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� <br /> E CITY OF ORONO PERMIT NO.: Zoiaooaoi <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 05/27/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 915 PARTENWOOD RD <br /> PIN : 08-117-23-21-0011 <br /> LEGAL DESC : PARTENWOOD <br /> : LOT 002 BLOCK 003 <br /> PERMIT TYPE : ESCROW FEE-OTHER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-OTHER <br /> NOTE: PAID BY CK#35058 STEINER&KOPPELMAN FOR ESCROW FEE-CONTRACTOR PERFORMING UTILITY WORK IN CITY <br /> RIGHT OF WAY <br /> APPLICANT ESCROW FEE-OTHER 3,000.00 <br /> SAFAR,MARY TOTAL 3,000.00 <br /> 925 PARTENWOOD RD <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> SAFAR,MARY <br /> 925 PARTENWOOD RD <br /> LONG LAKE,MN 55356- <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 on(y the work described and does <br /> not gant 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 />