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CITY OF ORONO PERMIT IYO.: 2009-00714 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/16/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 95 HACKBERRY HILL <br /> PIN : 33-118-23-44-0013 <br /> LEGAL DESC : DANIELS LONG LAKE HEIGHTS <br /> : LOT 007 BLOCK 002 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW TIED TO BU[LDING PERMIT 2009-00696 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> SULANDER, DUANE TOTAL 2,500.00 <br /> 95 HACKBERRY HILL <br /> LONG LAKE, MN 55356 <br /> OWNER <br /> SULANDER, DUANE <br /> 95 HACKBERRY HILL <br /> LONG LAKE, MN 55356 <br /> AGREEMENT A1vD SWORN STATEMENT <br /> The work for which this permit is issucd 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 whe[her 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 bc <br /> revoked at any time for due cause. <br /> / / / / <br /> Appiicant Permitee Signature Date Issucd By Signature te <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A$ E. <br />