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CITY OF ORONO * 2 0 1 4 - 0 1 2 2 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/22/2014 <br /> ORONO,MN 55356- <br /> � (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4166 HIGHWOOD RD <br /> PIN : 07-117-23-44-0027 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 033 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 225,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 225,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE <br /> PERMIT#THIS PR�PAYMENT IS TIED TO:2014-01230 <br /> APPLICANT ADVANCED PLAN REVIEW 1,174.39 <br /> CNC CONSTRUCTION,LLC TOTAL 1,174.39 <br /> Payment(s) <br /> 4540 210TH LANE NE CREDIT CARD 0182 1,174.39 <br /> EAST BETHEL,MN 55011- <br /> (612)817-0386 <br /> Minnesota State License#: BUIL-BC580107 <br /> OWNER <br /> WILLOW CREEK,DEV <br /> P O BOX 4551 <br /> ST PAUL,MN 55104 <br /> AGREEMENT AND SWORN STATEMENT <br /> 7'he work for which this permit is issued shall be perfortned according to <br /> the approved plans and specifications,applicable Ciry approvals,and the <br /> State Building Code. This permit is for only the work described and dces <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.'fhis 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 construction is <br /> suspended for a period of 180 days at any time atter work has commenced. <br /> 'fhe applicant is responsible for assuring all required inspections aze <br /> quested in conformance with the State Building Code.'This permit may be <br /> re t an time for due cause. <br /> jU-ZZ-�� <br /> „ <br /> Applicant Permitee ignature Date Issued By Signature Date <br />