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� ._, CITY OF ORONO * 2 0 1 6 - 0 1 2 6 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/05/2016 <br /> � ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2340 GLENDALE COVE LA <br /> PIN : 34-118-23-33-0062 <br /> LEGAL DESC : GLENDALE COVE <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> APPLICANT ESCROW FEE-BUILDING 700.00 <br /> TOTAL 700.00 <br /> VIERTHALER,ADAM&LEAH Payment(s) <br /> 2340 GLENDALE COVE LA CHECK 2091 700.00 <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> VIERTHALER,ADAM&LEAH <br /> 2340 GLENDALE COVE LA <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 Bui(ding 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 /> expve 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 be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />