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CITY OF ORONO * 2 0 1 6 - 0 0 1 3 0 * <br /> ` 2750 KELLEY PARKWAY DATE ISSUED: 02/09/2016 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 565 LEAF ST <br /> PIN : OS-117-23-41-0028 <br /> LEGAL DESC : FOX HOLLOW <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 40,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 40,000.00 <br /> TYPE OF PERM[T THIS PAYMENT IS FOR: STONE STAIRWAY CONNECTED TO HOME <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00129 <br /> APPLICANT ADVANCED PLAN REVIEW 391.96 <br /> TOTAL 391.96 <br /> GOODWIN, BEN&HEATHER Payment(s) <br /> 565 LEAF ST CREDIT CARD 5336 391.96 <br /> LONG LAKE,MN 55356- <br /> Minnesota State License#: BUIL-BC323192 <br /> OWNER <br /> GOODWIN, BEN&HEATHER <br /> 565 LEAF ST <br /> LONG LAKE,MN 55356- <br /> AGREEMENT A1vD 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. This 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 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 authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of l80 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 /> ��J <br /> �o� ��=--�� � l �? i 1 c� <br /> Applicant Permitee Signature Date Issued By Signature Date <br />