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, � <br /> � CITY OF ORONO * z 0 1 z - 0 0 9 8 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/04/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1700 BOHNS POINT RD <br /> PIN : 16-117-23-22-0003 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 349 <br /> : LOT 003 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL � <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 21,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 21000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING-RETAINING WALL � <br /> PERMIT#THIS PRE-PAYMENT 1S TIED TO:2012-00961 <br /> ���� <br /> � <br /> ��� <br /> V <br /> APPLICANT pDVANCED PLAN REVIEW 230.10 <br /> AL HIRSCH& SONS TOTAL 230.10 <br /> PO BOX 633 <br /> DELANO,MN 55328 PAID WITH CC# 7645 <br /> (763)972-2716 <br /> Minnesota State License#: 1240 <br /> OWNER <br /> OWENS, ROBERT&CAROL <br /> 1700 BOHNS PT RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN ST TEMENT <br /> The work for which this permit is issued shall be p rformed according to <br /> the approved plans and specifications,applicable iry approvals,and the <br /> State Building Code. This permit is for only th ork described and does <br /> not grant permission for additional or related rk which requires sepazate <br /> permits. All provisions of laws and ordinanc s goveming this type of work <br /> shall be compied with whether or not specif d herein.This permit will <br /> expire and become nul(and void if constru tion authorized is not <br /> commenced within 180 days of the date issuance,or if construction is <br /> suspended for a period of 180 days at time after work has commenced. <br /> The applicant is responsible for assuri 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 /> �.��_ � . `����� � � / / <br /> Applicant Permitee Signature Date Issued By Sig ure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER T N DESCRIBED ABOVE. <br />