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CITY OF ORONO * 2 0 1 5 — PJ 0 0 8 6 * <br /> 2750 KELLEY PARKWAY pATE isSUEn: OU23/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 761 BRIDGEWATER DR <br /> PIN : 33-118-23-12-0092 <br /> LEGAL DESC : STONEBAY SEVENTH ADDITION <br /> : LOT 5 BLOCK 1 <br /> PERM[T TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 350,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 350,000.00 <br /> TYPE OF PERMIT TH[S PAYMENT IS FOR: NEW TOWNHOUSE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-00090 <br /> APPLICANT ADVANCED PLAN REVIEW 1,744.98 <br /> TOTAL 1,744.98 <br /> WOODDALE BUILDERS INC. Payment(s) <br /> 6117 BLUE CR DR CHECK 82290 1,744.98 <br /> MINNETONKA,MN 55343- <br /> (952)345-0543 <br /> Minnesota State License#: BUIL-BC002926 <br /> OWNER <br /> Stonebrook Development LLC <br /> 17149 LINCOLN ST NE <br /> #600 <br /> HAM LAKE,MN 55304- <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 cons[ruction 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[e Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � �—�7-�� � � /�� <br /> Applicant Pe e Signature Date [ssued Signature Date <br />