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CITY OF ORONO * 2 0 1 3 - r� 0 5 3 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/20/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> RGPRINTED ON 10/14/2013 <br /> ADDRESS . .15.10-Pd4RTAARM DR 11�;1,�: =3 �") � � � ��� E' i Y�-i I� �.�. <br /> J <br /> PIN : 08-117-23-33-0078 <br /> LEGAL DESC : HICKORY HILL <br /> : LOT 020 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIF,D TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: "CIED�I�O I3iJILDING PERMIT 2013-00279&2013-00282 <br /> APPLICANT ESCROW FEE- BUILDING 2,500.00 <br /> ATLAS HOMES INC TOTAL 2,500.00 <br /> 14450 117TH AVE N <br /> DAYTON, MN 55369- <br /> (763)691-9044 <br /> Minnesota State License#: BC20269686 <br /> OWNER <br /> Atlas Homes <br /> 14450 I 17TH AVE N <br /> DAY"TON, MN 55369- <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he work for wl�ich this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry approvals,and dic <br /> State Building Code. This permit is for only the work described and docs <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances govcrning this type of work <br /> shall be compied with whether or not specitied hcrein.l'his permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuanec,or if construction is <br /> suspended for a period of 180 days at any time aRer work has commenced. <br /> The applicant is responsible for assurin�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 Permitec Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />