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r �, <br /> CITY OF ORONO * 2 0 1 6 - 0 0 5 8� <br /> 2'750 KELLEY PARKWAY DATE ISSUED: 05/25/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1070 HUNTER DR <br /> PIN : 25-118-23-42-0008 <br /> LEGAL DESC : MOONEY LAKE PRESERVE <br /> : LOT 3 BLOCK 2 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 1,047,004.20 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$1,047,004.20 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00589 <br /> APPLICANT ADVANCED PLAN REVIEW 4,196.74 <br /> TOTAL 4,196.74 <br /> DIVINE CUSTOM HOMES Payment(s) <br /> 397 EAGLE BLUFF COURT CREDIT CARD 0739 4,196.74 <br /> HUDSON,WI 54016- <br /> (715)760-2298 <br /> Minnesota State License#:cont-BC442980 <br /> OWNER <br /> GRONHOLZ, SCOTT&AMY <br /> 2008 SUGARWOOD DRIVE <br /> ORONO,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued sha11 be performed according to <br /> the approved plans and specifications,applicable Ciry approvals,and the <br /> State Building Code. This permit is for only t}►e work described and does <br /> not grant permission for additional or related work which requires sepazate <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 /> expire and become null and void if construction suthorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 1 SO 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 /> �p `�! Z_ s,Z 5� ��(O <br /> Applicant Permitee Signature Date Issue B Sig►ature Date <br />