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'" CITY OF ORONO <br /> * 2 0 1 5 - PJ P1 0 4 6 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: OU15/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2470 CARMAN ST <br /> PIN : 20-117-23-12-0066 <br /> LEGAL DESC : LEHMAN LAGOON <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERM[T <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW TIED TO NEW HOME PERMIT#2015-00040-PD CK#7513 BY JEFFREY JARNES <br /> APPLICANT ESCROW FEE- BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> JARNES,JEFF Payment(s) <br /> 2470 CARMAN ST CHECK 7513 2,500.00 <br /> WAYZATA,MN 55391- <br /> OWNER <br /> JARNES,JEFF <br /> 2470 CARMAN ST <br /> WAYZATA, MN 55391- <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 Ciry approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> no[grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances aoverning 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 1 SO days at any time afrer 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 /> j �� <br /> - ' �� C � �Y�2�'�'� / , /a / - <br /> - ,�( <br /> A lican P mitee Signature Date Issued By ignature Date <br />