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• . • CITY OF ORONO * 2 0 1 4 - P1 1 4 7 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU29/2015 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3460 BIRCH LA <br /> PIN : 08-117-23-43-0027 <br /> LEGAL DESC : LYDIAEZDS PARK LAKE MTKA <br /> : LOT 019 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 282,735.00 <br /> APPLICANT ADVANCED PLAN REVIEW 1,400.59 <br /> TOTAL 1,400.59 <br /> M& M HOME CONTRACTORS Payment(s) <br /> PO BOX 90 CHECK 3088 1,400.59 <br /> COLOGNE, MN 55322- <br /> (612)797-3720 ��ity or o�onr <br /> Minnesota State License#: BUIL-BC560376 2750 Kel ley Parkwav <br /> Urono MN 5:i356 952-�4�-4e�iu <br /> OWNER Receipt Na: 3.012706 Jan 29, 2015 <br /> LISLE, STEVE&ANGELA <br /> 3460 BIRCH LA Steven Lis]f� <br /> WAYZATA MN 55391- <br /> ' Previous Dalance: ,�p <br /> Fermits <br /> 2014-01474 3460 Birch i,4U0.59 <br /> AGREEMENT AND SWORN STATEMENT Lane <br /> 101-34410 <br /> The work for which this permi[is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the P1811 Che��k/SI te ExBm Fees <br /> State Quilding Code. This permit is for only the work described and does -- -- - ----- <br /> not grant permission for additional or rela[ed work which requires separate To�a 1: 1,4U0.59 <br /> permits. All provisions of laws and ordinances governing this type of work _�__c=�_=____._ <br /> shall be compied with whether or not specified herein.This permit will ChP.Ck <br /> expire and become null and void if construction authorized is not Cheek No: 3U88 <br /> commenced within 180 days of the date of issuance,or if construc[ion is 1.400.59 <br /> suspended for a period of 180 days at any time after work has commenced. Payor: <br /> The applicant is responsible for assuring all required inspections are Steven Lisle <br /> requested in conformance with the State Building Code.This permit may be f otel Appl l ed: 1,400.Ei9 <br /> revoked at any time for due cause. --- <br /> Change Tendered: .UU <br /> _--- __ _ <br /> ---__- -- � <br /> Duplic�te Cnpy <br /> Applicant Permitee Signature Date L � � , <br /> U1/�J/�U�5 10:�s1,AM <br />