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. CITY OF ORONO * z 0 1 6 - 0 1 0 1 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/24/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2480 CASCO POINT RD <br /> PIN : 20-117-23-21-0037 <br /> LEGAL DESC : TILLSONS VILLA CARMAN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : ADVANCED PLAN REVIEW <br /> VALUATIOl�1 : $ 1,000,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUAT[ON OF PERMIT:$1,000,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION/REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-01020 <br /> APPLICANT ADVANCED PLAN REVIEW 4,065.70 <br /> JN BUILT, LLC TOTAL 4,065.70 <br /> 801 TWELVE OAKS CENTER Payment(s) <br /> WAYZATA, MN 55391- CHECK 5124 4,065.70 <br /> (612)280-8205 <br /> Minnesota State License#: BUIL-BC638412 <br /> OWNER <br /> RUDOC,PH, STEPHEN& SUSAN <br /> 2480 CASCO PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEME1vT <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 Ihe 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 conshuction 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 [ssued By Signature Date <br /> � <br />