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CITY OF ORONO PERMIT NO.: 2010-00159 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE �ssuEn: 03/18/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2165 COLIN DR <br /> PIN : 03-117-23-21-0017 <br /> LEGAL DESC : KELLEY GREEN <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 8,000.00 <br /> NOTE: PLEASE F[LL IN THE FOLI.OWING: <br /> VALUATION OF PERMI'1': $ 8,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DECK PERMIT <br /> PERMI'C#THIS PRE-PAYMENC IS TIED TO: 2010-00158 <br /> APPLICANT ADVANCED PLAN REVIEW 105.46 <br /> EARLING, JOHN TOTAL ]05.46 <br /> 2165 COLIN DR <br /> LONG LAKE, MN 55356 <br /> OWNER <br /> EARLING,JOHN <br /> 2165 COL[N DR <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall bc performed according to <br /> the approved plans and specitications,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 goveming 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 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 /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />