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CITY OF ORONO * 2 0 1 5 - 0 0 9 4 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/27/2015 <br /> , ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 3210 GRAHAM HILL RD <br /> PIN : OS-117-23-11-0009 <br /> LEGAL DESC : GRAHAM HILL PRESERVE-2 <br /> : LOT 1 BLOCK 2 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILD[NG PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW TIED TO BU[LDING PERMIT#2015-00943 FOR DETACHED GARAGE. PAID BY OWNER MATTHEW MESENBURG CK <br /> #4280-$2,500.00 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> MESENBURG, MATT&MICHELLE Payment(s) <br /> 2525 KELLER ROAD CHECK 4280 2,500.00 <br /> LONG LAKE, MN 55356- <br /> OWNER <br /> MESENBURG, MATT&MICHELLE <br /> 2525 KELLER ROAD <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 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in cpflformanc�t`�vith�e State Building Code.This permit may be <br /> revoked at ar�ly� �me for/Hu�ca�e. ' ���� <br /> ,���j� � �� S� p �> ' �p <br /> 5 � � �"��Q.�- /v� <br /> � � II � � 1 ��� L � � � <br /> r � / <br /> Appliea Perr�itee Signature ate Issue By Signature Date <br />