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, <br /> CITY OF ORONO PERMIT NO.: 2011-01247 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 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 : RES[DENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 18,000.00 <br /> NOTE: PLEASE['ILL IN THE FOLLOWING: <br /> VALUA"CION OF YERMIT: $ 18000.00 <br /> TYPE OF PGRMIT THIS PAYMENT IS FOR: POOL PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:201 1-01248 <br /> APPLICANT ADVANCED PLAN REVIEW 201.34 <br /> DOLPHIN POOL& SPA, INC. <br /> 3405 N HWY 169 TOTAL 201.34 <br /> PLYMOUTH, MN 55441- <br /> (612)542-9000 <br /> Minnesota State License#: 20266452 <br /> OWNER <br /> GEELAN, MICHEAL&JENN[FER <br /> 900 BROWN RD N <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work lor 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 permi[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 no[speciYied 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 time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in con ormanc � the State Building Code.This permit may be <br /> rcvol-ed a t� or �. <br /> / / / / <br /> Applicant Pe itee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />