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CITY OF ORONO * 2 0 1 4 - 0 1 2 2 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/22/2014 <br /> � ORONO,MN 55356- <br /> f (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 41'74 HIGHWOOD RD <br /> PIN : 07-117-23-44-0026 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 032 BLOCK 000 <br /> PERMTT 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 T0:2014-01228 <br /> APPLICANT ADVANCED PLAN REVIEW 1,174.39 <br /> TOTAL 1,174.39 <br /> CNC CONSTRUCTION,LLC 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 PAiJL,MN 55104 <br /> AGREEMENT AND SWORN STATEMENT <br /> 7'he 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 Building Code. 'This permit is for only the work described and does <br /> not gant pertnission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.7'his 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 after work has commenced. <br /> 1'he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revo ed at any time for due cause. <br /> � �o-z2-�y ��. u � a� <br /> Applicant Permi e Signature Date Issued y Signature Date <br />