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� CITY OF ORONO PERMIT NO.: 2011-01247 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISsuEv: 10/14/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 900 BROWN RD N <br /> PIN : 27-118-23-43-0023 <br /> LEGAL DESC : THE FARM AT LONG LAKE <br /> : LOT 024 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 18,000.00 <br /> NOTE: PLEASE FILL ITv THE FOLLOWING: <br /> VALUATION OF PERMIT: $ 18000.00 <br /> TYPE OF PERMIT TH1S PAYMENT IS FOR: POOL PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2011-01248 <br /> APPLICANT ADVANCED PLAN REVIEW 20134 <br /> DOLPHIN POOL 8, SPA, INC. TOTAL 201.34 <br /> 3405 N HWY 169 <br /> PLYMOUTH, MN 55441- <br /> (612) 542-9000 <br /> Minnesota State License#: 20266452 <br /> OWNER <br /> GEELAN,MICHEAL&JENNIFER <br /> 900 BROWN RD N <br /> LONG LAKE, MN 55356- <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 Buildin�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 construction au[horized 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 aze <br /> requested in con ormanc the State Building Code.This permit may be <br /> revo ed a or eZ'�IIse. <br /> / / / / <br /> Applicant Pe itee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />