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. � <br /> CITY OF ORONO * Z 0 1 3 - 0 0 7 6 8 * <br /> 2750 KELLEY PARKWAY nA'rE�SSUEn: 08/06/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2102 SUGARWOOD DR <br /> PIN : 34-118-23-21-0021 <br /> LEGAL DESC : SUGAR WOODS <br /> : LOT 002 BLOCK 004 <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 20 1 3-00767-PD BY JENNIFER JASPER-CHECK#2549 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> JASPER,THOMAS F&JENNIFER J TOTAL 2,500.00 <br /> 2102 SUGARWOOD DR <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> JASPER,THOMAS F&JENNIFER J <br /> 2102 SUGARWOOD DR <br /> LONG LAKE,MN 55356- <br /> � <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 /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />