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CITY OF ORONO * 2 0 1 Z - 0 0 9 6 3 * <br /> � -` � 2750 KELLEY PARKWAY DATE ISSUED: 09/27/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 80 CREEK RIDGE PASS <br /> PIN : 03-117-23-12-0018 <br /> LEGAL DESC : CREEKSIDE IN ORONO <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 435,000.00 <br /> NOTE: YLEASE PILL IN THG FOLLOWING: <br /> VALUATION OF PERMIT: $ 435,000.00 � � -��- ,�� <br /> �:J ��� `-,r�. <br /> �t_f�.1 I lt .l i,j.11'� , r " . <br /> fYPE OF PERM[T TH[S PAYMGNT[S FOR: NEW HOUSE: <br /> PI'RMI"I�#THIS PRE-NAYMF,NT[S TIED TO:2012-00964 <br /> .��: <br /> � t;F <br /> _,j(i�. <br /> , (;; <br /> ;F4, <br /> ���r <br /> .� . .��7:... <br /> 4� <br /> �PiEl 1�0� <br /> ,�,i�, <br /> APPL[CANT ADVANCED PLAN REVIEW 1,993.39 <br /> HOMETIME V[DEO PUBLISHING, INC. TOTAL 1,99339 <br /> 4355 PEAVEY ROAD <br /> CHASKA, MN 55318- <br /> (952)856-461 1 <br /> Minnesota State License#:20456399 <br /> OWNER <br /> Hometime Video Publishing Inc <br /> 4355 PEAVY RD <br /> CHASKA, MN 55318- <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he work for which this permit is issued shall be 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 pennission for additional or related work which requires separate <br /> pennits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit��°ill <br /> cxpire 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 13y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />