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.r ,�. - A <br /> ,. CITY OF ORONO * z 0 1 2 - 0 0 5 0 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/07/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> REPRINTED ON 6/7/2012 <br /> ADDRESS : 2215 BAYVIEW PL <br /> PIN : 17-117-23-44-0026 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTiON TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 205,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VAI,UATION OF PERMIT: $ 205,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW STRUCTURE <br /> THIS PRE-PAYMENT IS TIED TO:2012-00502 <br /> OVERPAYMENT OF$19.61 FOR PLAN REVIEW WILL BE DEDUCTED FROM FINAL BUILDING PERMIT FEE. <br /> APPLICANT ADVANCED PLAN REVIEW 1,096.39 <br /> AUTUMN RIDGE HOMES INC TOTAL 1,096.39 <br /> P O BOX 375 <br /> DELANO, MN 55328- <br /> (763)269-2697 <br /> Minnesota State License#:20637701 <br /> :'e�+io!i5 I;a 1 an�:; <br /> ,�r�m�� . <br /> OWNER '�1� <br /> DUNN, TIMOTHY j�_t <br /> 3010 BROOKS LANE ':ar+ : <br /> WAYZATA, MN 55391- �'�'�� <br /> •1Ic- <br /> 'l <br /> t't!1• , <br /> AGREEMENT AND SWORN STATEMENT "�1�`' <br /> The work for which this permit is issued shall be performed according to :iL��; 3.?iG.` ' <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 addi[ional or related work which requires separate °Cit ��: L�,��ff 3�k�fi.�. <br /> permits. All provisions of laws and ordinances governing this type of work `�r: <br /> shall be compied with whether or not specified herein.This permit will tt�'+. �I�J�e }�ifAPS <br /> expire and become null and void if construction authorized is not ' �Pp�l�'� jf 11��{ <br /> commenced wi[hin 180 days ofthe 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 conformance with the State Building Code.This permit may be <br /> revohed at any time for due cause. <br /> / / � <br /> Applicant Permitee Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WO.u,�,�nc,tc i ri.v�� .�L�, �.�,�L�,,,�„�L. <br />