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� � <br /> CITY OF ORONO * 2 QJ 1 4 - B Pl Z 0 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/17/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2627 CASCADE LA <br /> PIN : 33-118-23-11-0115 <br /> LEGAL DESC : STONEBAY FIFTH ADDITION <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 180,000.00 <br /> NOTE: PLEASE FILI,IN"IIIF,FOLLOWING: <br /> VnLUATION OF PF,RMIT: $180000.00 <br /> "I'YPE OF PERMIT THIS PAYMENT IS FOR: NGW HOUSE <br /> PERM[T#THIS PRE-PAYMF;NT IS TIED TO:20 1 4-002 1 0 <br /> APPLICANT ADVANCED PLAN REVIEW 998.89 <br /> TOTAL 998.89 <br /> STONEBAY BUILDERS LLC Payment(s) <br /> 14870 BROCKTON LANE CHECK T102 998.89 <br /> DAYTON, MN 55327- <br /> (612)363-4304 <br /> OWNER <br /> O.T. Development, LLC <br /> 10300 l OTH AVE N <br /> PLYMOUTH, MN 55441- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work tbr 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[he work described and does <br /> not grant pennission for additional or related work which requires separa[e <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied wi[h whedier or not specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced wi[hin l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has eommenced. <br /> �he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date [ssued By Signature Date <br />