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�' <br /> CITY OF ORONO PERMIT NO.: 201 oa�s <br /> ' 2750 KELLEY PARKWAY <br /> ' ORONO, MN 55356- DATE IssuEn: 06/16/2011 <br /> 952 249-4600 FAX: 9�2 249-4616 <br /> ADDRESS : 141 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0026 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 021 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 172,980.00 ��� <br /> NOTE: PLEASE FILL IN THE FOLLOWING: � <br /> VALUATION OF PERMIT: $ 172,980.00 � �� � <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION ! � v <br /> � <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:201-00476 ` � <br /> 4 ` <br /> \ <br /> \�� � ,s� <br /> �J� `9� `� <br /> � ,,�' �`� <br /> �;� o <br /> � �\\ �` <br /> ��� � � � <br /> �'�,, <br /> APPLICANT <br /> ADVANCED PLAN REVIEW 971.59 <br /> BAUER BUILDING CO. TOTAL 971.59 <br /> 4628 S LAKE SARAH DR. <br /> MAPLE PLAIN, MN 55359 PAID WITH CC# 0831 <br /> (612)382-2880 <br /> Minnesota State License#: BC-203262 <br /> OWNER <br /> REMARK, ROGER&MEGAN <br /> 141 CHEVY CHASE DR <br /> WAYZATA,MN 55391 <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 Building 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 governin�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 authorized is not <br /> commenced within 180 days of[he 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 respons le for assuring all required inspections are <br /> requested i nform ce ith the State Building Code.This permit may be <br /> revoked at an time r e cause. <br /> �Zf�f ( <br /> �Pi / i <br /> App cant Permitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />