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CITY OF ORONO * 2 0 1 4 - 0 1 2 9 2 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1 VO5/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952 249-4616 <br /> ADDRESS 3710 TOGO RD <br /> PIN : 17-117-23-31-0027 <br /> LEGAL DESC TOWNSITE OF LANGDON PARK <br /> LOT 003 BLOCK 010 <br /> PERMIT TYPE ADVANCED PLAN REVIEW <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADVANCED PLAN REVIEW <br /> VALUATION $ 25,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 25,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ACCESSORY STRUCTURE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO: 2014-01293 <br /> APPLICANT ADVANCED PLAN REVIEW 268.45 <br /> GREG DAHL CONSTRUCTION INC. Payment(s) TOTAL 268.45 <br /> 112 PAUL AVE N CHECK 6123 268.45 <br /> COLOGNE,MN 55422- <br /> (952)474-7102 <br /> Minnesota State License#:BUIL-20080782 <br /> OWNER <br /> LINDQUIST, LINDA <br /> 3710 TOGO RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City 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 conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ZZApplicant Permitee Signature Date 4ul <br /> Signature Date <br />