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CITY OF ORONO * 2 0 1 2 - 0 0 5 3 4 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 06/14/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 114 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0035 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : ADVANCED PLAN REV[EW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 25,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERM[T: $ 25,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-00535 <br /> APPLICANT ADVANCED PLAN REVIEW 268.45 <br /> KNIGHT CONST. DESIGN TOTAL 268.45 <br /> 2989 WATERTOWER P. <br /> CHANHASSEN,MN 55317 PAID WITH CC# 4135 <br /> (952)361-4949 <br /> Minnesota State License#: BCO22883 <br /> OWNER <br /> MCLEAN, CHRISTOPHER& ELIZABETH <br /> 114 CHEVY CHASE DR <br /> WAYZATA, MN 55391- � <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 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 governing 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 aRer 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 /> � /�.F�// ���r`— / l i y l �� (l 1"(���'�� / / <br /> pp ' an � itee Signature Date Issue y Si ature Date <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER T AN DESCRIBED ABOVE. <br />