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' � CITY OF ORONO PERMIT NO.: 20��-0�2�1 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �SSUEn: 10/19/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2660 CASCO POINT RD <br /> PIN : 20-117-23-24-0002 <br /> LEGAL DESC : UNPLATTED 20 ll7 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> COIVSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 1,050,000.00 <br /> NOTE: PI.EASE PILL IN THE FOLLOWING: <br /> VALUATION OF YERMIT:$ 1,050,000.00 <br /> "I'YPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT NEW HOME <br /> PERM[T#"iHIS PRGPAYMENT IS TIED TO:20 1 1-0 1 272 <br /> APPLICANT ADVANCED PLAN REVIEW 4,001.89 <br /> LECY BROS CONSTRUCTION TOTAL 4,001.89 <br /> 15012 HWY 7 <br /> MINNETONKA, MN 55345 <br /> (952)746-3783 <br /> Minnesota State License#: 20325555 <br /> OWNER <br /> BLOMBERG,ANGELA <br /> 2660 CASCO PT RD <br /> WAYZATA,MN 5539]- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work for which 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 permit is for only the work described and does <br /> not gran[permission for additional or related wark which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specitied 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 /> I'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 use. <br /> �. � � /D/ / / // � / / <br /> Applicant Permitee Signature Date Issued By Sig ure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOV . <br />