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CITY OF ORUNO * 2 0 1 6 - 0 0 5 6 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/23/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS' : 2445 SHADYWOOD RD <br /> PIN : 20-117-23-11-0015 <br /> LEGAL DESC : TUWNSITE OF LANGDON PARK <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 680,000.00 <br /> APPLICANT ADVANCED PLAN REVIEW 2,973.70 <br /> TOTAL 2,973.70 <br /> THE BAINEY GROUP INC Payment(s) <br /> 14700 28TH AVE N, SUITE 30 CHECK 74248 2,973.70 <br /> PLYMOUTH,MN 55441- <br /> (763)231-8182 <br /> OWNER <br /> Bridgewater Bank <br /> 3800 AMERICAN BLVD W <br /> SUITE 100 <br /> BLOOMINGTON,MN 55431- <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 separate <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 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 requ'ved inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. � <br /> a ` s� �,�.3, <br /> Applicant Permitee Signature Date Issued By i ature Date <br />