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� CITY OF ORONO � <br /> 2750 KELLEY PARKWAY * 2 0 1 3 - 0 P1 9 5 8 * <br /> DATE ISSUED: 09/16/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> RF.;PRIN"CI;D ON 9/16/2013 <br /> ADDRESS : 2820 FARVIEW LA <br /> PIN : 04-117-23-34-0005 <br /> LEGAL DESC : FARVIEW <br /> : LOT 002 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: TI IIS$2�00 ESCROW IS TIED TO BUILD[NG PERMIT#2013-00897 -PD CI-IF.CK <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> SWANSON, D&A ESCROW FEE-EROSION CONTROL 0.00 <br /> 2820 FARVIEW LA <br /> LONG LAKE, MN 55356- ESCROW FEE-GRADING 0.00 <br /> TOTAL 2,500.00 <br /> OWNER <br /> SWANSON, D&A <br /> 2820 FARVIEW LA <br /> LONG LAKE, MN 55356- <br /> AGREEMENT A1VD SWORN STATEMENT <br /> 'I�he work for���hich this permit is issued shall be perfonned according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work dcscribed and does <br /> not grant permission for additional or rclated work which requires separate <br /> permits All provisions of�laws and ordinances governing this type ofwork <br /> shall be compied with whether or not specified herein."fhis permit will <br /> expire and become null and void if construction authorized is not <br /> commeneed within 180 days of Ihe date of issuance,or if construction is <br /> suspended for a period of 180 days at any time aYter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformancc with the State E3uilding Code.This permit may be <br /> revoked at any[ime for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />