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` � CITY OF ORONO * z 0 1 3 - 0 1 1 9 3 * <br /> 27�0 KELLEY PARKWAY DATE ISSUED: 1U08/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2775 COLTNTRYSIDE DR W <br /> PIN : 04-117-23-12-0016 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN <br /> : LOT 001 BLOCK 003 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: BLDG.PERMIT 2013-01134 <br /> APPLICANT ESCROW FEE-BUILDING ?,500.00 <br /> MURLEY,TODD& MARY TOTAL �,500.00 <br /> �7�5 COUNTRYSIDE DR W <br /> LONG LAKE, MN 55356 <br /> OWNER <br /> MURLEY. TODD&MARY <br /> 2755 COUNTRYSIDE DR W <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shail 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�rant 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 davs of the date of issuance,or if construction is <br /> suspended f'or a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assurin�all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at anr timc for due cause. <br /> ! / / <br /> i <br /> Applicant Pern�itec Signawrc llate Issued B��Sisrnature I�atc <br /> SEPARATE PEP.MITS REpUIRED FO� WORI;. OTHEF. THAN DESCRIBED ABOV�. <br />