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_ CITY OF ORONO * Z 0 1 5 - 0 1 5 6 3 * <br /> - 2750 KELLEY PARKWAY DATE ISSUED: 12/16/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 770 BROWN RD N <br /> PIN : 34-118-23-12-0006 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1275 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BiJILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW FOR ADD[TION/REMODEL PERM[T#201501561-PAID BY:SCHWARZ BUTLDERS INC.-CK#16414-$2,500.00 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> SCHWARZ BUILDERS INC. Payment(s) <br /> 15119 MINNETONKA BLVD CHECK 16414 2,500.00 <br /> SUITE 100 <br /> WAYZATA, MN 55391 <br /> (952)476-6768 <br /> Minnesota State License#: BUIL-BC003922 <br /> OWNER <br /> HUTTER,ROBI&ALICIA <br /> 770 BROWN RD N <br /> LONG LAKE,MN 55356- <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 governing 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 days at any time after work has commenced. <br /> The appli nt is responsib e fo ssuring all required inspections aze <br /> req�ted conformancelwith t e State Building Code.This permit may be <br /> revok�i at a y time for d cai � <br /> \ <br /> ��.- �,_ I Z� 1� ►� ��� ���,�-�S�� � � � /((G., <br /> plicant Pe �gn tur Date Issued By Signature Date <br />