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CITYOFORONO * z014 - � 0073 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU23/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 105 CREEK RIDGE PASS <br /> PIN : 03-117-23-12-0012 <br /> LEGAL DESC : CREEKSIDE IN ORONO <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 1,260,000.00 <br /> NOTF: PI,F,ASE FILL IN T EiE FOL[.OW1NG: <br /> VALUATION OF PERMIT: $1,260,000.00 <br /> TYPE OF PERMI"I'"THIS PAYMI'.N[�IS FOR: NEW HOUSE <br /> PERMIT#"I'I IIS PRt;PAYMEN'C IS TIED TO:2014-00074 <br /> APPLICANT ADVANCED PLAN REVIEW 4,547.89 <br /> TOTAL 4,547.89 <br /> CHARLES CUDD LLC Payment(s) <br /> 15050 23RD AVENUE N CHECK -29693 4,547.89 <br /> PLYMOUTH, MN 55447- <br /> 0 <br /> Minnesota State License#: BU[L-BC635245 <br /> OWNER <br /> Hometime Video Publishing Inc <br /> 4355 PEAVEY RD <br /> CHASKA, MN 55318- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for onlp the work describcd and does <br /> not grant permission for additional or rclated�vork which requires separate <br /> permits. All provisions of laws and ordinances governing this type of�vork <br /> shall be compied with whether or not specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date ot�issuance,or if construction is <br /> suspended for a period of 180 days at any time atter work has commenced. <br /> The applicant is responsible tbr assuring all required inspections are <br /> reques[ed in conformance with lhe State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued I3y Si�nature Date <br />