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� CITY OF ORONO * z 0 1 4 - 0 PJ 3 3 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/2U2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4460 FOREST LAKE LANDING <br /> PIN : 07-117-23-24-0015 <br /> LEGAL DESC : TONKAVIEW GARDENS <br /> : LOT O10 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 25,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUA"fION OF PERMIT: $ $25,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT <br /> PERMIT�THIS PRE-PAYMENT IS TIED TO:2014-00340 <br /> APPLICANT ADVANCED PLAN REVIEW 268.45 <br /> TOTAL 268.45 <br /> LEE'S LANDSCAPING & DESIGN Payment(s) <br /> 7990 69TH AVE N CREDIT CARD 1822 268.45 <br /> ROCKFORD, MN 55373- <br /> (763) 688-1217 <br /> Minnesota State License#: BUIL-BC665790 <br /> OWNER <br /> MARTINSON, PAUL&IDA& PETER <br /> 4460 FOREST LAKE LANDING <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permi[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[he 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 /> shali be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is no[ <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[he 5tate Building Code.This permit may be <br /> revoked at• y[ime for due cause. <br /> ���'✓'^i�� �_��—I� l l <br /> �p�1 icant Yermitee Signature Date Issued By Sig ture Date <br />