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� � CITY OF ORONO <br /> * 2 0 1 6 - PJ 1 3 � Z * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/18/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1729 FAGERNESS POINT RD <br /> PIN : 17-117-23-22-0035 <br /> LEGAL DESC : MAPLEGATE INLET <br /> : LOT 002 BLOCK 002 <br /> PERM[T TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 390,080.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 390,080.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ADD[TION <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-01323 <br /> APPL[CANT ADVANCED PLAN REVIEW 1,913.09 <br /> TOTAL 1,913.09 <br /> BIEKER,DAVID Payment(s) <br /> 1729 FAGERNESS PT RD CHECK 10550 1,913.09 <br /> WAYZATA, MN 55391- <br /> OWNER <br /> BIEKER, DAVID <br /> 1729 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 City approvals,and the <br /> State E3uilding Code. This permit is for only the work described and docs <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this rype of work <br /> shall be compied�vith whether or not specified herein.This perniit 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 Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued Qy Signature Date <br />