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� -r' <br /> CITY OF ORONO * Z 0 1 2 - 0 0 9 2 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/17/2012 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 25 STUBBS BAY RD N <br /> PIN : 32-118-23-34-0005 <br /> LEGAL DESC : LJNPLATTED 32 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOIv TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$2500 ESCROW IS TIED TO ZONING APPLICATION#12-3578-PAID BY CHECK 6355 BY DENNIS KRUMP <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> KRUMP,DENNIS ESCROW FEE-DEVELOPER 0.00 <br /> 25 STUBBS BAY RD N TOTAL 2,500.00 <br /> MAPLE PLAIN,MN 55359- <br /> OWNER <br /> KRUMP,DENNIS <br /> 25 STUBBS BAY RD N <br /> MAPLE PLAIN,MN 55359- <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 dces <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 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 S�gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />