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CITY OF ORONO * Z 0 1 4 - 0 P1 6 8 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/O1/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3650 CASCO AVE <br /> PIN : 20-117-23-31-0043 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1 147 <br /> : LOT 000 BLOCK 000 <br /> PERM[T TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 15,000.00 <br /> NOTE: PLI�:ASE FIL[,IN"I'HE FOLLOWING: <br /> VALUAI'ION OP PERMI'f: $ $I5.000.00 <br /> I�YPE OF PE[ZMI"I�TFiIS PAYMENT IS I'OR: BU[LDING PGRMI"I' <br /> NERMIT#TI lIS PR&PAYMENf IS TII��D"CO:2014-00682 <br /> APPLICANT ADVANCED PLAN REVIEW 172.58 <br /> TOTAL 172.58 <br /> LECY BROS HOMES Payment(s) <br /> 15012 HWY 7 CREDIT CARD 1416 172.58 <br /> M[NNETONKA, MN 55345- <br /> (952)944-9499 <br /> Minnesota State License#: BUIL-20325555 <br /> OWNER <br /> GERSOVITZ, MR. & MRS. <br /> 3650 CASCO AVE <br /> WAYZATA, MN 55391- <br /> AGREEMF.NT AND SWORIV STATEMENT <br /> Thc work tbr H�hich this permit is issued shall be performed according to <br /> the approved plans and spccifications,applicable City approvals,and the <br /> State Building Code. "This perniit is for only the work described and does <br /> not grant permission Yor additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shail be compied with whe[her or not specified herein.'I�his permit will <br /> expire and become null and void if construction authorized is not <br /> commenced wi[hin 180 days of thc date of issuance,or if construction is <br /> suspended t�>r 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 conformance with the State[3uilding Code.'I�his permit may bc <br /> revoked at any time for duc cause. <br /> I - <br /> � ( � L � 1 l_�— � L. / / <br /> Applicant Permitee.ignature at Issued I3 ignature Date <br /> �... - <br /> ` <br />