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. � <br /> CITY OF ORONO * 2 0 1 5 - 0 0 5 8 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/12/2015 <br /> ORONO, MN 55356- I 1 <br /> ' - 952 249-4600 FAX: 952 249-4616 v <br /> ADDRESS : 3011 SUSSEX RD <br /> PIN : 04-117-23-32-0018 �o(l lll��►,` <br /> IT <br /> LEGAL DESC : FOX BEND ',�r,f� <br /> : LOT 007 BLOCK 002 �. �1�, � " <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYP : RESIDENTIAL <br /> CONSTRUCTIO TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 10,000.00 <br /> NOTE: PLEASE FI L[N THE FOLLOWING: <br /> VALUATION OF P RMIT:$ 10,000.00 <br /> TYPE OF PERMIT HIS PAYMENT IS FOR: ATTACHED DECK <br /> PERMIT#THIS P E-PAYMENT IS TIED TO:2015-00582 <br /> I <br /> APPLICANT ADVANCED PLAN REVIEW 130.88 <br /> TOTAL 130.88 <br /> RENEE <br /> CRISTIANI,J AN& Payment(s) <br /> 3011 SUSSEX D CREDIT CARD 2232 130.88 <br /> LONG LAKE, 55356- <br /> OWNER <br /> CRISTIANI, UAN&RENEE <br /> 3011 SUSSE RD <br /> LONG LAK ,MN 55356- <br /> AGR EMENT AND SWORN STATEMENT <br /> The work for hich this permit is issued shall be performed according to <br /> the approved lans and specifications,applicable City approvals,and the <br /> State Buildin Code. This permit is for onty the work described and does <br /> not grant pe ission for additional or related work which requires sepazate <br /> permits. All rovisions of laws and ordinances governing this type of work <br /> shall be com ied with whether or not specified herein.This permit will <br /> expire and b come null and void if construction authorized is not <br /> commenced ithin 1 SO days of the date of issuance,or if construction is <br /> suspended f r a period of 180 days at any time after work has commenced. <br /> The applica t is responsible for assuring all required inspections are <br /> requested in conformance with the State Bui ding Code.This permit may be <br /> revoked at y time for due cause. �( <br /> /'�l} <br /> � �_ �_���— C���)'�Y'C_��� �-� � � �� l- <br /> App�ant P rmitee Signature Da e + Issued By Signature Date <br />