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CITY OF ORONO * 2 0 1 6 — 0 1 ld 7 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/3ll2016 <br /> � ORONO, MN 55356- <br /> " (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1849 FAGERNESS POINT RD <br /> PIN : 17-117-23-23-0021 <br /> LEGAL DESC : MAPLEGATE INLET <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 12,000.00 <br /> NOTE: PLEASE FILL IN'I'HE FOLLOWING: <br /> VALUATION OF PERMIT:$ 12,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: REBUILDING EXISTING DECK <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-01072 <br /> APPLICANT ADVANCED PLAN REVIEW 151.00 <br /> TOTAL 151.00 <br /> VANTAGE CONSTRUCT[ON SERVICES,LLC Payment(s) <br /> 14355 24TH ST CHECK 6216 151.00 <br /> WATERTOWN, MN 55388- <br /> (612)272-2828 <br /> Minnesota State License#: BUIL-BC647228 <br /> OWNER <br /> SHUMAN, THOMAS&STACY <br /> 1849 FAGERNESS PT 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 Ciry 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 after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State[3uilding Code.This permit may be <br /> revoked at any time for due cause. �'�+'� <br /> ` a �- ���� ��-� g' �3 / � /� <br /> Applicant Permitee Sign tur Date Issued By Signature Date <br />