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� CITY OF ORONO * z 0 1 2 - 0 0 8 9 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/07/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4495 BAYSIDE RD <br /> PIN : 06-117-23-21-0004 <br /> LEGAL DESC : UNPLATTED 06 1 17 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> COIYSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 339,000.00 <br /> NOTE: PLEASI:FILL IN THE FOI,LOWING: <br /> VALUATION OF PERMI'i':$ $339,000.00 <br /> TYPE OF PERMI"I'THIS PAYMEN'I'IS FOR: BUILDING PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED"1�0:2012-00891 <br /> APPLICANT ADVANCED PLAN REVIEW 1,618.99 <br /> KATHERINE TAYLOR HOMES, INC. TOTAL 1,618.99 <br /> 120 RAILWAY STREET W <br /> PO BOX 35 PAID WITH CC# 5086 <br /> LORETTO, MN 55357 <br /> (763)479-0301 <br /> Minnesota State License#: 4738 <br /> OWNER <br /> Preservation Properties LLC <br /> 145 RAILWAY ST W <br /> PO BOX 35 <br /> LORETTO, M�1 55357-0035 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performcd according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State(3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or rela[ed work which requires separate <br /> pennits. All provisions of laws and ordinances governing this rype of 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[ime after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in confonnance with the State Building Code.This permit may be <br /> revok at any time for due cause. <br /> � / � / `� `� / / <br /> plicant Permitec ignature Date Issued By Si ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED ABO . <br />