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CITY OF ORONO * 2 0 1 7 - 0 1 4 7 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: lUi3/2017 <br /> ORONO,MN 55356- <br /> (952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 2070 SHORELINE DR <br /> PIN : 15-117-23-21-0005 <br /> LEGAL DESC : HARTWOOD <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 20,000.00 <br /> NOTE: PLEASE FILL IN TI-IE FOLLOWMG: <br /> VALUATION OF PERMIT:$20,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: RETAINING WALL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-01479 <br /> APPLICANT ADVANCED PLAN REVIEW 231.54 <br /> TOTAL 231.54 <br /> F&B CONSTRUCTION Payment(s) <br /> 1743 1 TTH AVE S CHECK 59670 231.54 <br /> SHAKOPEE,MN 55379- <br /> (952)445-6604 <br /> Minnesota State License#:BUIL-BCs�327 <br /> OWNER <br /> HIRSCHMANN,MARK&KEELY <br /> 2070 SHORELINE DRIVE <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 Ciry approvals,and the <br /> State Building Code. This pertnit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of Iaws and ordinances goveming this type of work <br /> sha(I be compied with whether or not specified herein.'I'his permit will <br /> expire and become null and void if construction aud�orized 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 />