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. CITY OF ORONO * 2 0 1 2 — 0 0 4 6 � * <br /> 2750 KELL�Y PARKWAY ppT�issuE�: OS/29/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3205 GRAHAM HILL RD <br /> PIN : OS-l17-23-14-0065 <br /> LEGAL DESC : GRAHAM HILL PRESERVE <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : ESCROW FEE-APPL[CANT <br /> PROPERTY TYPG : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPL[CANT <br /> NOT E: "I'I-[IS$700.00 ESCROW IS TIED TO ZONING PGRM[T APPL[CATION#12-3�60 <br /> APPLICANT <br /> ESCROW FEE-APPLICANT 700.00 <br /> KISSNER, MATT&NEENA <br /> 505 S l OTH STREET TOTAL 700.00 <br /> MINNEAPOLIS, MN 55404- <br /> OWNER <br /> KISSNER, MATT&NEENA <br /> 505 S l OTH STREET <br /> MINNEAPOLIS,MN 55404- <br /> AGREEMENT AND SWORN STATEMGNT <br /> The work for���hich this permit is issued shall be performed according to <br /> the�pproved plans and specifications,applicable City approvals,and the <br /> State[3uilding Code. This pennit 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 governin�this type of�vork <br /> shall be compied with�vhether or not specified herein.This permi[will <br /> expire and become null and void if construction audiorized is not <br /> commenced��ithin 180 days of the date of issuance,or if construc[ion is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicnnt is responsible for assuring all required inspections are <br /> requested in conformance with the State E3uilding Code.This pennit may be <br /> revoked at an��time for due cause. <br /> / / / / <br /> f\pplicant Permitco Signalw�a Date Issued}3v Sienalure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />