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� <br /> CITY OF ORONO * Z 0 1 S - 0 0 4 4 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/16/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 809 BROWN RD N <br /> PIN : 27-118-23-34-0006 <br /> LEGAL DESC : UNPLATTED 27 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$2,000.00 ESCROW IS TIED TO ZONING PERMIT 2015-00441 <br /> APPLICANT ESCROW FEE-APPLICANT 2,000.00 <br /> ESCROW FEE-DEVELOPER 0.00 <br /> HAHN,JERAD&LESLIE TOTAL 2,000.00 <br /> 809 BROWN RD N Payment(s) <br /> LONG LAKE,MN 55356- CHECK 6043 2,000.00 <br /> OWNER <br /> HAHN, JERAD&LESLIE <br /> 809 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 perxnit is for only the work described and does <br /> not grant permission for additional or related work which requires sepazate <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 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 aze <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 />