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CITY OF ORONO PERMIT NO.: 2009-00889 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 12/11/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 3785 TOGO RD <br /> PIN 17-117-23-31-0039 <br /> LEGAL DESC TOWNSITE OF LANGDON PARK <br /> LOT 010 BLOCK 010 <br /> PERMIT TYPE ADVANCED PLAN REVIEW <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADVANCED PLAN REVIEW <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 8,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT-ADDITION <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:#2009-00890 <br /> APPLICANT ADVANCED PLAN REVIEW 105.46 <br /> BRENNAN PROPERTIES LLC TOTAL 105.46 <br /> 8452 153RD PLACE <br /> SAVAGE,MN 55378- PAID WITH CC# 7119 <br /> (612)616-4447 <br /> Minnesota State License#:20381410 <br /> OWNER <br /> GHERARDI,LORI <br /> 1010 WILLOWVIEW DR <br /> LONG LAKE,MN 55356- <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 /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />