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CITY OF ORONO * z 0 1 6 - 0 0 0 8 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01127/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1050 EDGEWOOD HILLS RD <br /> PIN : 02-117-23-13-0003 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1098 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ I,500,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 1,500,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW STRUCTURE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00088 <br /> APPLICANT ADVANCED PLAN REVIEW 5,430.70 <br /> TOTAL 5,430.70 <br /> STREETER&ASSOCIATES Payment(s) <br /> 18312 MINNETONKA BLVD CREDIT CARD 5001 5,430J0 <br /> WAYZATA, MN 55391 <br /> (612)449-9448 <br /> Minnesota State License#: BUIL-1380 <br /> OWNER <br /> STEINER,BARBARA <br /> 1050 EDGEWOOD HILLS RD <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 oY work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if conswction authorized is not <br /> commenced within l80 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 Permitce Signature Date Issued By Signature Date <br />