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CITY OF ORONO PERMIT NO.: 2oia000sa <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 0?/17/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2056 SHORELINE DR <br /> PIN : 15-117-23-21-0002 <br /> LEGAL DESC : HARTWOOD <br /> : LOT 003 BLOCK 001 City of Orona <br /> �75U Kelley Parkway <br /> PERMIT TYPE : ADVANCED PLAN REVIEW Orun� NMl 553� 952-�49-4b� <br /> PROPERTY TYPE : RESIDENTIAL Receipt No: 3.002134 Feb 17, ^c010 <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 25,000.00 Greenwoad Qesign <br /> NOTE: PLEASE FILL IN THE FOLLOWING: Gera�it5 <br /> 2UiQ-00484 �056 Shorelin 2fi8.45 <br /> VALUATION OF PERMIT:$25,000.00 e Drive <br /> 1G1-34410 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT Plan Check/Site Exam Fees <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2010-00085 Total: __yY268.45 <br /> Check <br /> Check No; 1015 2fi8.45 <br /> Payar: <br /> Greerw►oc�d Design <br /> Total Applied: �68.45 <br /> Change Tendered: � .44 <br /> 0�/17/10 12:59PM <br /> APPLICANT ADVANCED PLAN REVIEW 268.45 <br /> GREENWOOD DESIGN BUILDERS TOTAL 268.45 <br /> 2370 BRIDLE CREEK CIRCLE <br /> CHANHASSEN, MN 55317- <br /> OWNER <br /> PATTY SILVA,MICKEY MAUDE <br /> 2056 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 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 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 />