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CITY OF ORONO * Z 0 1 6 - 0 0 9 5� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/1 U2016 <br /> ORONO, MN 55356- <br /> � " (952) 249-4600 FAX: (952) 249-4616 <br /> ADL?R°ESS : 3333 SHORELINE DR <br /> PiN : 20-117-23-11-0024 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1422 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : C p�y��,�!j�}� <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUAT[01�1 : $ 400,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 400,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: REMODEL/ADDITION TO COMMERCIAL BUILDING <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00956 <br /> APPLICANT ADVANCED PLAN REVIEW 1,949.95 <br /> TOTAL 1,949.95 <br /> CARLSON-LAVTNE, INC. Payment(s) <br /> 2965 PARTRIDGE CHECK 68729 1,949.95 <br /> ROSEVILLE,MN 55113 <br /> (651)303-8762 <br /> OWNER <br /> Lunds Food Holding Inc. <br /> 4100 W SOTH STREET#2100 <br /> EDINA,MN 55424- <br /> AGREEMEIYT 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 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 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 conforcnance with Ihe State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> _ ; �l � <br /> - . >- � ,-� ��„ ��� ���-�� � j� ��--F���> � , r � l�- <br /> App(icant Permitee Signature Dake Issued By Signature Date <br />