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A �. <br /> CITY OF ORONO PERMIT NO.: 2011-00053 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ►SSUE�: OU24/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> REPR[NTED ON 1/24/201 I <br /> ADDRESS : 3423 SHORELINE DR <br /> PIN : 20-117-23-12-0034 <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 : $ ]05,650.00 <br /> NOTE: ADVANCED PLAN REVIGW OF$686.89 RECEIVED CHECK#024691 -BALANCE OF$23.40 WILL NEI;D TO BE ADDGD TO <br /> ' BUILDING PERMIT#2011-00052 UPON ISSUING. Ck IL'CK WAS SUI3MIT"I'GD W[TH APPLICATION-INCORRECT AIv10UNT. <br /> TI IE CORRECT AUDRESS I'OR'I'I[[S IS 342�SI IORFLINE DRIVG <br /> APPLICANT ADVANCED PLAN REVIEW 686.89 <br /> AUTOMOTIVE, O'REILLY TOTAL 686.89 <br /> I 233 S PATTERSON <br /> � SPRINGFIELD,OH 65802- <br /> -:'y_�I ilG�1�i{L <br /> llii' �M+ .."'... ...t ,.... <br /> �.ezpt t�: 3.aGy.;��.r: __ <br /> OWNER <br /> Brook Investment Group LLC ��� . � <br /> 34321 MYRTLE LA <br /> UNION CITY, CA 94587- ``��` <br /> ;t-:.�• <br /> �;r <br /> ,-3!• <br /> AGREEME(YT AND SWORN STATEMENT `4� ` <br /> The work for which this permit is issued shall be performed according to �_;�'dl; �; <br /> the approved plans and specifications,applicable City approvals,and the � � �-__cWs_�. <br /> State Building Code. This pennit is for only the work described and does -::'�Ck <br /> ,�„ <br /> not grant pcnnission for additional or relatcd work���hich requires scparate �-:f1F?C� ��G:�4i.'�F��� � �i� <br /> permits. All�rovisions of la���s and ordinances governing this type of work �8j'O?'C � <br /> shall be compied with���hethcr or not specified herein."I�his permit���ill 'a^���� ' �14�CA�x I jl t�!l�ri � <br /> expire and become null and void if construction authorized is not iai �p���Q�� 6�ir <br /> commenced within 180 days of the date of issuance,or if construction is .,� ,r, �, y�� � ""._"'"� <br /> suspended for a period of 180 days at any time after work has commenced. '� �r��`�� �'•� <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State 13uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date � Issued By Signature Datc <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />