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CITY OF ORONO * z � i z - 0 0 2 1 z * <br /> 2750 KELLEY PARKWAY nATE ISSU�D: 03/22/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2755 CASCO POINT RD <br /> PIN : 20-117-23-23-0007 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 265 <br /> : LOT 007 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 125,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERM[T:$ 125,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-00213 <br /> APPLICANT ADVANCED PLAN REVIEW 784.39 <br /> KUHL DESIGN & BUILD, LLC TOTAL 784.39 <br /> 1515 STH STREET SOUTH <br /> HOPKINS, MN 55343- PAID WITH CC# 1 156 <br /> (952)935-9469 <br /> Minnesota State License#: BC390161 <br /> OWNER <br /> BASKFIELD, MICHEAL&SHARON <br /> 2755 CASCO PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according ro <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 oY 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 Sta uilding Code.This permit may be <br /> revoked at any time for due use. � <br /> _ ,. <br /> ) ----�. :_ " ' �,�� � / / <br /> App icant"F''ermitee Signa re Date Issued By nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. <br />