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i <br /> .- I' CITY OF ORONO ��� <br /> • �k2015 - 00583 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/12�015 <br /> ORONO,MN 55356- <br /> ' � 952 249-4600 FAX: 952 249-4616 <br /> ADI�RESS : 3011 SUSSEX RD <br /> pIN : 04-117-23-32-0018 <br /> LEGAL DE�C I, : FOX BEND <br /> : LOT 007 BLOCK 002 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY T E ' : RESIDENTIAL <br /> CONSTRUCTI�N PE : ADVANCED PLAN REVIEW <br /> VALUATION � : $ 10,000.00 <br /> NOTE: PLEASE�IL ',IN TI�FOLLOWING: <br /> VALUATION OF�E T:S 10,000.00 <br /> TYPE OF PERMIT S PAYIvIENT IS FOR: ATTACHED DECK <br /> PERMIT#THIS P� YMENT IS TIED TO:2015-00582 <br /> ' APPLICANT ADVANCED PLAN REVIEW 130.88 <br /> TOTAL 130.88 <br /> CRISTIANI,N�1N I RENEE Payment(s) <br /> 3011 SUSSEX R�D CREDIT CARD 2232 130.88 <br /> LONG LAKE,1�kN �356- <br /> OWNER <br /> CRISTIANI,N �c RENEE <br /> 3011 SUSSEX� <br /> LONG LAKE,1t�iN 356- <br /> AGREE E AND SWORN STATEMENT <br /> The work for whic thi rmit is issued shall be performed according to <br /> the approved plans and ifications,appiicable City approvals,and the <br /> State Building s pecmit is for only the work described and dces <br /> not grant permissi n fo dditional or related work which requiros separate <br /> permits. All provigions laws and ordinances goveming tt�is type of work <br /> shal(be compied with ether or not specified herein.This permit will <br /> expire and become null d void if construction authorized is not <br /> commenced with' 180 ys of the date of issuance,or if construction is <br /> suspended for a 'od 180 days at any time after work has commenced. <br /> 1'he applicant is reSpo ' le for assuring all required inspections are <br /> requested in confotm with the State Bui ding Code.This permit may be <br /> revoked at any ti fo ue cause. <br /> ,� �5�.-`c�-,.� �� l' j <br /> �� � � <br /> App ' ant P 'ee ature e � Issued By S�gnature Date <br />