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� , CITY OF ORONO � <br /> * 2 0 1 5 - 0 0 1 9 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/13/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 945 FOREST ARMS LA <br /> PIN : 07-117-23-12-0019 <br /> LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOi�1 TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTG: ESCROW I�OR ADDIT[ON REMODEL PERMIT#2015-00198-PAID BY OWNER: ROBERI'EA"I'ON CK#13136$2,500.00 <br /> APPLICANT ESCROW FEE- BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> EATON, BOB&JENNIFER Payment(s) <br /> 2721 COMSTOCK LA N CHECK 13136 2,500.00 <br /> PLYMOUTH, MN 55447- <br /> OWIYER City of Uruno <br /> 2750 KelleyrParkway �52-�49-460U <br /> EATON, BOB&JENNIFER Orono MN .,5356 <br /> 2721 COMSTOCK LA N Feb 13, 2015 <br /> Rec:eipt No: 3.012805 <br /> PLYMOUTH, MN 55447- <br /> R�.,bert Eaton <br /> Planning end Zoning 2 ��i�� ��� <br /> AGREEMENT AND SWORN STATEMENT �015-00197 945 Forest <br /> Arms La <br /> The work for which this permit is issued shall be performed according to 101-22205 er De?pOS 1 t <br /> the approved plans and specifications,applicable City approvals,and the �gfeYred ReV-D0V010p _ ________ <br /> State Building Code. This permit is for only the work described and does z,5U0_UU <br /> not grant permission for additional or related work which requires separate Tutel: _�_-_______—-- <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 wil) ChF�Ck 2,500.00 <br /> Check No: 13136 <br /> expire and become null and void if construction authorized is not �_..-.�. <br /> commenced wi[hin 1 AO days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time atter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requestcd in conformance with the State E3uilding Code."Chis permit may be <br /> re ked at any ime r due cause. ���' <br /> o{.G �-�� C.�Yj��CG� �� �,j� / <br /> � <br /> Ap cant Permit Signature Date Issued By Sig ature Date <br />