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� CITY OF ORONO PERMIT NO.: 2011-01181 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/04/20ll <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3510 BAYSIDE RD <br /> PIN : OS-117-23-13-0016 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 203 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REV[EW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 15,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 15000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: SWIMMING POOL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2011-01182 <br /> APPLICANT ADVANCED PLAN REVIEW 172.58 <br /> PERFORMANCE POOL& SPA TOTAL 172.58 <br /> 1890 WOODDALE DRIVE <br /> WOODBURY, MN 55125 <br /> (651)731-3440 <br /> OWNER <br /> LARSEN, GREGG & STEPHANIE <br /> 35]0 BAYSIDE RD <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfonned 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 specitied herein.This pennit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 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 /> T a is responsible for assuring all required inspections are <br /> r ested i co ormance with the State Building Code.This permit may be <br /> r 'oked at a ti e for due cause. <br /> ' / / / / <br /> Applicant Permitee Sig ture Date Issued By i nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . <br />