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. � CITY OF ORONO PERMIT NO.: 2011-01234 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/17/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 170 BIG 1SLAND <br /> PIN : 23-117-23-23-0029 <br /> LEGAL DESC : MORSE ISLAND PARK <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REV[EW <br /> VALUATION : $ 50,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 50,000.00 <br /> "CYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT <br /> YERMIT#THIS PRE-PAYMENT IS TIED TO:201 1-01235 <br /> APPLICANT ADVANCED PLAN REVIEW 443.14 <br /> BACKES, STEVEN& KAREN <br /> PO BOX 183 443.14 <br /> EXCELSIOR, MN 55331-0183 <br /> Ye��_ <br /> - � --::.:. _:. <br /> OWNER _ . __. . _ <br /> _i;;'. <br /> BACKES, STEVEN&KAREN <br /> PO BOX 183 <br /> EXCELS[OR, MN 55331-0183 `f' � <br /> :�,,._ .---- __. <br /> ;its <br /> ,,..,��. <br /> AGREEMENT AND SWORN STATEMENT ; �%".;�` <br /> ti�Fti <br /> The�vork for which this permit is issued shall be perfornied according to ': 'L•.`IE?C�+:�Sa`c �ridi�: <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 '-'1� <br /> not grant permission for additional or related work which requires separate ` Ea�3ri�e: <br /> permits. All provisions of laws and ordinances governing 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 the date of issuance,or if construction is � - � <br /> suspended for a period of 180 days at any time atter work has commenced. <br /> "I�he applicant is responsible f ring all requir inspections are <br /> request in conforman tate Buil ' Code.This permit may be <br /> rev � d at any tim c se. <br /> l�i 7 i /( 1�C.G{. ��l �7 i / <br /> App icant Permitee gnature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />