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CITYOFORONO * 20 12 - 00257 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/09/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1685 FOX ST <br /> PIN : 03-117-23-44-0004 <br /> LEGAL DESC : HANSER ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVfEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 6,500.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWWG: <br /> VALUA"CION OF YERMIT: $ 6�00.00 <br /> TYPG OF PERMIT TI[IS PAYM�NT IS F'OR: BUILDING PERMIT <br /> PERMIT#"I'1 llS PRE-PAYMENT IS TIED TO:2012-00258 <br /> APPLICANT ADVANCED PLAN REVIEW 95.88 <br /> AULIK&ASSOCIATES TOTAL 95.88 <br /> 6401 WAYZATA BLVD <br /> ST LOUIS PARK, MN 55416- PAID WITH CC# 9228 <br /> (952)591-1500 <br /> Minnesota State License#: 2654 <br /> OWNER <br /> HORNIG, STEVEN <br /> 1685 FOX ST <br /> WAYZATA, MN 55391- <br /> AGREEMEIVT AND SWORN STATEMENT <br /> "i he work for which this permit is issucd shall be perfonned according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Buildina Code. This pennit is for only the work described and does <br /> �iot 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 /> cxpire and become null and void if construction authorized is not <br /> commcnced�cithin 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 co o "nce with the State Building Code."I�his permit may be <br /> revoked at e use. <br /> ���� � � �"" � / / <br /> A� I' ant Pe itee Signat re Date Issued l3y Si ature � D <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . <br />