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a 'r CITY OF ORONO <br /> 2 7 5 0 K E L L E Y P A R K W A Y * � 0 1 3 - 0 0 1 3 0 * <br /> DATE ISSUED: 02/26/2013 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4300 SIXTH AVE N <br /> PIN : 31-118-23-12-0022 <br /> LEGAL DESC : SHARON HILLS <br /> : LOT 000 BLOCK 001 <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 DEMOLITION PERMIT#2013-00089 PAID FOR BY JASON GEHRMAN-CHECK#5000 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> GEHRMAN,ROBERT&MARILYN ESCROW FEE-EROSION CONTROL 0.00 <br /> 4300 SIXTH AVE N <br /> LONG LAKE,MN 55356- ESCROW FEE-GRADING 0.00 <br /> TOTAL 2,500.00 <br /> OWNER <br /> GEHRMAN,ROBERT&MARILYN <br /> 4300 SIXTH AVE N <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 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 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 I80 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 /> 1'he 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 /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />