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CITY OF ORONO * 2 0 1 8 - 0 0 5 0 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/23/2018 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 650 PINEHLJRST CT <br /> PIN : 06-117-23-34-0006 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 18 BLOCK 1 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 20,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 20,000 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2018-00503 <br /> APPLICANT ADVANCED PLAN REVIEW 231.54 <br /> NORTON HOMES TOTAL 231.54 <br /> Payment(s) <br /> 18215 45TH AVE N, STE D CREDIT CARD 5386 231.54 <br /> PLYMOUTH,MN 55446- <br /> (763)559-2991 <br /> Minnesota State License#: BUIL-BC639221 <br /> OWNER <br /> Source Land Development Inc. <br /> 18215 45TH AVE N <br /> STE D <br /> PLYMOUTH,MN 55446- <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,applicab�e City approvals,and the <br /> State Building Code. This pem►it is for only the work described and dces <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 /> expire and become null and void if consWction 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 Buildiqg Code.This permit may be <br /> revoked at any time for due cause. <br /> ����� - <br /> � l�- i 3 i S� <br /> icant Pe ' e ignat e Date Is u By Signature Date <br />