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, CITY OF ORONO PERMIT NO.: 2009-00248 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUE�: OS/2U2009 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2100 SHADYWOOD RD <br /> PIN : 17-117-23-31-0041 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 030 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> NOTE: ADVANCED PLAN REVIEW PAID—CK#7177 ON OS/21/09 FOR$2,474.39(HOWEVER THE AMOUNT SHOULD HAVE BEEN <br /> $2,490.64) WHICH LEAVES A DIFFERENCE OF$16.25 OWED AT TIME NEW HOME PERMIT IS ISSUED IF AMOUNT OF HOME VALUE <br /> STAYS AT$575,000.00 <br /> NEW HOME PERMIT#2009-00249 <br /> APPLICANT ADVANCED PLAN REVIEW 2,474.39 <br /> MARHULA,DAREN TOTAL 2,474.39 <br /> 2100 SHADYWOOD RD <br /> WAYZATA,MN 55391— <br /> ;�� ,�:� <br /> s�, IR� .,. ...,. <br /> OWNER 'fp� H!'�: ...;E�^,itC,:;.? t*'i}'✓ :t, ri:' <br /> MARHULA, DAREN <br /> 2100 SHADY WOOD RD s�` ��';�s;� ' <br /> WAYZATA, MN 55391— <br /> ,it� <br /> •a�ced s�1ar, Fevxe� Fee �,47j�. : <br /> AGREEMENT AND SWORN STATEMENT ���R� ��� ��������� <br /> 'I'he work for which this permit is issued shall be performed according to ,p���i�1't� �k3w`i ?' <br /> [he 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 separate _._M.._�_--... <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 �.;,,�CR� �; 7S�% Gi�}?k'� <br /> expire and become null and void if construction authorized is not �.��pp. <br /> commenced within 180 days of the date of issuance,or if wnstruction is ;?4qyay� ��^!{Ula <br /> sus ended for a eriod of 180 da s at an time after work has commenced. �;���j_�, 7`' <br /> p p Y Y �1 a � �.4, � <br /> The applican[is responsible for assuring all required inspections are � '"' "' <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 /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />