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CITY OF ORONO * 2 0 1 6 - 0 0 6 0 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/3U2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2710 KELLY AVE <br /> PIN : 21-117-23-23-0034 <br /> LEGAL DESC : VERN-MAR MANOR <br /> : LOT 009 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 55,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$55,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION <br /> PERMIT#THIS PRE-PAYMENT IS TIED T0:2016-00604 <br /> APPLICANT ADVANCED PLAN REVIEW 490.96 <br /> ROBIN,RESTORATION TOTAL 490.96 <br /> 2080 SHORELINE DR Payment(s) <br /> WAYZATA,MN 55391- CHECK 2289 490.96 <br /> OWNER <br /> ROBIN,RESTORATION <br /> 2080 SHORELINE DR <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 Building Code. 1'his permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of Iaws 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 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 aze <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 Sigrâ–ºature Date Issued By Signature Date <br />