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- , CITY OF ORONO PERMIT NO.: 2011-00102 <br /> � • 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE �SSUE�: 02/15/20ll <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRI;SS : 2650 FOX ST <br /> � PIN : 04-117-23-41-0003 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1249 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPE;RTY TYPE : RESIDENTIAL <br /> CONS�'RUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUf�TION : $ 215,000.00 <br /> NO"I�F.: PLGASG FILL IN TIiG FOLLOWING: <br /> VALUATION 01=PERMIT: $ 215000.00 <br /> TYPE OF PERMITTHIS PAYMEN�1'IS FOR: ADDITION TO IIOME <br /> PGKMI"1�#TI lIS PR&PAYMENT IS TIGD T0:201 1-00 1 03 <br /> APPLICANT ADVANCED PLAN REVIEW 1,135.39 <br /> JLF HC�MES, LLC <br /> TOTAL I,135.39 <br /> 1452 ITlDUSTRIAL BLVD. - SUITE <br /> MAPLI: PLAIN, MN 55359 <br /> (763)4"19-0795 .'` . ° <br /> Minnesota State License#: 20�21437 t����� � "��£ <br /> ����;:,I. <br /> OWNER <br /> MOLITJE, JEFF <br /> 2650 F��X ST <br /> WAYZATA, MN 55391- <br /> ' �,�i�i'I�f:?isE CX3$i � . <br /> ErCREEMENT AND SWORN STATEMENT _.. - <br /> The���o�k for which this permit is issucd shall bc perlormed according to � � <br /> t;�'i2�n <br /> the appr�ved plans and specifications,applicable City approvals,and thc ������ ���� -�f;, j �-•u, <br /> State[3i ilding Code. This permit is for only the work described and does � '���� <br /> P� ��r�: <br /> not grant permission for additional or related work�vhich requires separate J�� ���� <br /> permits. All provisions of laws and ordinances goveming this ty°pe ofwork � ��:��:,j y��jliaL�. �r i:,`. <br /> shall be compied with whether or not specified hcrcin.This permit���ill _�___...,__. <br /> expire and become null and void if�construetion au�horized is not : � -�,�-=Y-�; <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 day�s at any ti� �after���ork has commenced. <br /> fhe applicant is responsible Ibr assuring a ;�required inspections are <br /> reque' m co Ibnna with the State �iildind Code."I'his permit may bc <br /> rev �ked at a time �t'�due ca e. <br /> _.''L� ��� l l l l <br /> Appll.eant Pe itee Signature Datc Issued By S� ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOVE. <br />