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. _ <br /> CITY OF ORONO PERMIT NO.: 2011-00060 <br /> , <br /> 2750 KELLEY PARKWAY <br /> , ORONO, MN 55356- �ATE �SSUED: OU3U2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 170 BIG [SLAND <br /> PIN : 23-117-23-23-0029 <br /> LEGAL DESC : MORSE ISLAND PARK <br /> : LOT 000 BLOCK 000 <br /> = NERMIT TYPE : ADVANCED PLAN REVIEW <br /> � PROPERTY TYPE : RESIDENTIAL <br /> iCONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 50,000.00 <br /> NOTE: PLF.,ASE FILL IN`Cf IE FOLLOWING: <br /> VALUATION OF PGRM11�: $ �0.000.00 <br /> TYPE OF PERMIT TH[S PAYMF_NT IS FOR: BUILDINC ADDITION <br /> PERMIT#"I'I iIS PRE-PAYMGNT IS TIED TO:201 1-00059 <br /> APPLICANT ADVANCED PLAN REVIEW 443.14 <br /> FSACKES, STEVEN& KAREN <br /> PO BOX 183 TOTAL 443.14 <br /> EXCELSIOR, MN 55331-0183 <br /> I <br /> City nf Orano <br /> OWNER �75(i Kelley Parkway <br /> ` Oror�o M1� 5535fi 952-249-46t)U <br /> BAC`:'-ES, STEVEN & KAREN <br /> PO BUX 183 Receipt No: 3.004456 .)ar� 31, PUIi <br /> EXCFLSIOR, MN 55331-0183 <br /> 5teve Backes <br /> �CIZGI;MENT ANU SWORN STATEMGNT �r�its <br /> 2p11-�06U 17G 8ig Islan 443.14 <br /> I'hc w� k lor which this permit is issucd shall bc per�i�rmcd according to d <br /> the apC �oved plans and specitications.applicable City approvals,and thc 1�1—��10 <br /> State B iilding Code. l�his permit is for onl��the work describcd and docs �'18t1 �12Ck/SltB EKa91 F2Q5 <br /> not gra� ' perntission for additional or rclatcd�vork which rcquires scparatc ----------- <br /> permits. AII provisions of la���s and ordinances goveming this type ot�work TOtal: 443.14 <br /> shall be compicd with whether or not specitied herein.This pennit will —____---_ <br /> expire and become null and void if construction authorized is not �eCk <br /> commenced���ithin 180 days of the date oC issuance,or if construction is ��k �' ��g �F3.14 <br /> suspended for a period of 180 days at a�ry time afler work has commenced. pdyOP: <br /> The applicant is responsible for assuring all required inspections are Steve Baekes <br /> reques��d in conformance with the State Building Code.This permit may be T�tdl AppilE�: �__ 443_14 <br /> revoked at any time for due cause. ��f3p9@ T81'�eY'E�' .GU <br /> / / ���—_ <br /> Applicant Pennitec Signature Date Issued B��Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />