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w _ <br /> CITY OF ORONO NERM�T No.: 2011-00053 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE �ssuE�: O1/24/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> RGPRWTF'D ON 1/24/2011 <br /> ADDRESS : 3423 SHORELINE DR <br /> PIN : 20-i17-23-12-0034 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1422 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : COMMERCIAL- BUSINESS <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 105,650.00 <br /> NOTE: ADVANCED PLAN REVIEW O�$686.89 RL:CI:NI�.D CHECK#024691 -13ALANCG OF$23.40 WILL NGEll TO BG ADDED TO <br /> � L3UlLDINC PERMIT#20]1-000�2 UPON ISSUING. CHL;CK WAS SUBMI"I�"I'ED WITH APPLICATION-INCORRf;CT AMOUNT. <br /> THE CORREC"l�ADDRESS FOR"1'H[S]S 3425 SI[ORF,LIN�DRIVE <br /> APPLICANT <br /> ADVANCED PLAN REVIEW 686.89 <br /> AUTOMOTIVE, O'REILLY TOTAL 686.89 <br /> 233 S PATTERSON <br /> SPR[NGFIELD, OH 65802- <br /> City of Orono <br /> 2750 Kelley ParkNay <br /> O W N E R Orono i�V 55356 '352-249-4600 <br /> Brook Investment Group LLC Receipt No: 3.404040 Jan 24� 2U11 <br /> 34321 MYRTLE LA <br /> UNION CITY, CA 94587- Casco - 0'Reilly Auta <br /> Permits <br /> AGREEMENT AND SWORN STATEMENT 2411-00053 3425 Shorelin 686.89 <br /> e Dr <br /> � The work tor which this permit is issued shall be performed according to 1�1—�41� <br /> the ap��roved plans and speci�ications,applicable City approvals,and the �18fl �IQCk/SitB EK81� F�5 <br /> � State Building Code. This pennit is for only the work described and does �— "— <br /> not grant pennission for additional or related work which requires separate TOtal: �.B9 <br /> pennits. All provisions of laws and ordinances governing this type ot��vork ��k ____��__a_ <br /> shall be compied���ith whether or not specified herein.This pennit will ���k �: ������ �.�� <br /> e�pire and become null and void if construction authorized is not <br /> Pa ar: <br /> connnenced within 180 days of the datc ot�issuance,or if construction is y <br /> suspended lor a period of 180 days at any time alter work has commenced. ��0 — 0�R2111y AUtO <br /> Total Applied: 695.89 <br /> The applicant is responsible for assuring all required inspections are �_____�_ <br /> requested in conf'onnance with the State Building Code.'1'his permit may be �ange Te�er�� .Q� <br /> revoked at any time for due cause. �_w_�_ <br /> � � 01/24/11 G3:28PM <br /> Applicant Pennitee Signature Date Issued I3y Signiturc Datc <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />