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CITY OF ORONO * 2 0 1 6 - 0 0 5 6 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/23/2016 <br /> ORONO,MN 55356- <br /> " (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2024 SHADYWOOD RD <br /> PIN : 17-117-23-31-0011 <br /> LEGAL DESC : GUST S JOHNSONS ADDN <br /> : LOT 004 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 13,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 13,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BOATHOUSE&STEPS <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00566 <br /> APPLICANT ADVANCED PLAN REVIEW 161.06 <br /> KIEFFER,JOHN&BENJAMIN TOTAL 161.06 <br /> 2024 SHADYWOOD RD Payment(s) <br /> WAYZATA,MN 55391- CHECK 5263 161.06 <br /> OWNER <br /> KIEFFER,JOHN&BENJAMIN <br /> 2024 SHADYWOOD RD <br /> WAYZATA,MN 55391- <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 permit is for only the work described and does <br /> not grant permission for additional or related work which requires sepazate <br /> permiu. 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 construction authorized is not <br /> commenced within 1 SO 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 /> revoke an ime for due cause. ��/J/} <br /> �(/'/ <br /> � i�� �(o <br /> Applic ee Signature Date Issued By Si ature Date <br />