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CITY OF ORONO * 2 PJ 1 3 - 0 0 2 Z 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/09/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2050 SHORELINE DR <br /> PIN : 10-117-23-34-0014 <br /> LEGAL DESC : HARTWOOD <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTTON TYPE : ADVANCED PLAN REVIEW � <br /> VALUATION : $ 28,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 28,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-00228 <br /> APPLICANT ADVANCED PLAN REVIEW 289.41 <br /> TONKA MGMT 1 ST TOTAL 289.41 <br /> 4573 SADDLEWOOD DRIVE <br /> MINNETONKA, MN 55345- PAID WITH CC# 0164 <br /> (612)598-3116 <br /> Minnesota State License#: BC386358 <br /> OWIVER <br /> KVAMME TRUST(TOM BROSTROM), BERTA <br /> 2050 SHORELINE DR <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 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 consUuction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended f'or a period of 180 days at any time afrer work has commenced. <br /> The applicant is responsible for assuring aIl required inspections are <br /> requ co formance with.��e a uilding Code.This permit may be <br /> oked at y ime � ue cause. <br /> �� � / / <br /> - / / <br /> Applica r ee Signature Date Issued y Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. <br />