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CITY OF ORONO * 2 0 1 4 - 0 0 8 3 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/04/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1925 COUNTRY CLUB RD <br /> PIN : 27-118-23-43-0002 <br /> LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN <br /> : LOT 003 BLOCK 003 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVfEW <br /> VALUATION : $ 4,000.00 <br /> NO"TI?: YLEASI;FILL IN THL: FOLLOWING: <br /> VALUATION OF P6RM1��: $ 4,000.00 <br /> "I�YPF,OF NERMI'1'THIS PAYMEN"C IS FOR: LAWN L�,QUIPM[?NT GAR,IGE <br /> P}�,RMI�I�#"I�I�IIS PRG-PAYMI:NT IS"fIED"I'O:2014-00834 <br /> APPLICANT ADVANCED PLAN REVIEW 67.1] <br /> TOTAL 67.11 <br /> FREDENN, GLENN & LOIS Payment(s) <br /> 1925 COUNTRY CLUB RD CREDIT CARD 8613 67.1 l <br /> LONG LAKE, MN 55356- <br /> OWNER <br /> FREDENN, GLENN& LOIS <br /> 1925 COUN'IRY CLUB RD <br /> LONG LAKE, MN 55356- <br /> AGREF,MENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed accordi��g to <br /> the approved plans and specitications,applicable City approvals,and thc <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 /> pennits. All provisions of laws and ordinances goveming Uiis type of work <br /> shall be compied with whether or not specitied herein."�his pennit 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 1 AO days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requestcd in conformance with the State Building Code."Chis permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Dale lssued By Signature Date <br />