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. <br /> s <br /> CITY OF ORONO PERMIT NO.: 2009-00859 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE IssvEn: 1U30/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3105 CASCO POINT RD <br /> PIN : 20-117-23-34-0006 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1311 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REV[EW <br /> NOTE: PLEASE FILL[N THE FOLLOWING: <br /> VALUATION OF PERMIT:$523,000.00 <br /> 7�YPE OF PERMIT THIS PAYMENT IS FOR:BUILDING PERMIT FOR NEW HOUSE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO: PERMIT#2009-00860 <br /> APPLICANT ADVANCED PLAN REVIEW 2,344.39 <br /> CHARLES CUDD LLC TOTAL 2,344.39 <br /> 15050 23RD AVENUE N <br /> PLYMOUTH, MN 55447- <br /> �) <br /> Minnesota State License#: 20635245 <br /> OWNER <br /> RICHEY, KENT <br /> 3105 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 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 goveming 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 authorizcd 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 a[any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />