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CITY OF ORONO PERMIT NO.: 2010-00931 <br /> � -, � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/04/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 809 BROWN RD N <br /> PIN : 27-118-23-34-0006 <br /> LEGAL DESC : UNPLATTED 27 1 18 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 65,000.00 <br /> NOTE: PLGASE FILL IN THE POLLOWING: <br /> VALUAT[ON OF PERMI"I':$65,000.00 <br /> TYPG OF PERMIT THIS PAYMENT IS FOR: BUILDING PGRMIT-POOL <br /> PERMIT#'I'I IIS PRE-PAYMENT IS TIED TO: I3UILU[NG PLIZMI�C-2010-00932 <br /> APPLICANT <br /> QUALITY POOLS ADVANCED PLAN REVIEW 516.26 <br /> 10350 WOODHILL BLVD TOTAL 516.26 <br /> LAKEVILLE, MN 55044 PAID WITH CC# 4948 <br /> (612)985-7665 <br /> OWNER <br /> HAHN, JERAD& LESLIE <br /> 809 BROWN RD N <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc 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 I3uilding 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 oY laws and ordinances governing this typc of work <br /> shall be compied wiU�whether or not specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> conunenced within 180 days ofthe date oY issuancc,or if construclion is <br /> suspended for a period of 180 days at any time atter work has commenced. <br /> "I�he applicant is responsible fbr assuring all required inspections are <br /> requcsted in conformance with thc State Building Code.This permit may be <br /> revoked at anv time for due cause. <br /> / / /(./ / � / <br /> Applicant Permitee Signature Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />