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CITY OF ORONO PERMIT NO.: 2011-01068 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 09/16/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 315 TONKAWA RD <br /> PIN 06-117-23-14-0021 <br /> r <br /> LEGAL DESC REG. LAND SURVEY NO.0540 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE ADVANCED PLAN REVIEW <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADVANCED PLAN REVIEW <br /> VALUATION $ 75,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 75000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2011-01069 <br /> APPLICANT ADVANCED PLAN REVIEW 565.01 <br /> JENSEN HOMES <br /> 601 CARLSON PARKWAY#1225 TOTAL 565.01 <br /> MINNETONKA,MN 55305- PAID WITH CC# 2152 <br /> (952)475-0548 <br /> Minnesota State License#: 1156 <br /> OWNER <br /> Waycrosse,Inc. <br /> MACMILLAN,MARTHA E <br /> 15407 MCGINTRY RD W <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 confor�a��with the State B ing Code.This permit may be <br /> revoked at any i e endue ca <br /> l /Gl /le,-t.4A l l <br /> t FP1ic a 1gn ure Date Issued By nature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB <br />