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CITY OF ORONO * 2 0 1 3 - 0 1 2 9 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/16/2013 <br /> ORONO, MN 55356- <br /> 952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 1065 LINDEN LA <br /> PIN : 07-117-23-14-0066 <br /> LEGAL DESC : LINDEN BEACH <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 1,000,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$1,000,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-01293 <br /> APPLICANT ADVANCED PLAN REVIEW 3,871.89 <br /> TOTAL 3,871.89 <br /> SWANSON HOMES Payment(s) <br /> 1360 HAMEL ROAD CHECK 1524 3,871.89 <br /> MEDINA, MN 55340- <br /> (763)478-0320 <br /> Minnesota State License#: BUIL-627982 <br /> OWNER <br /> KUZNIK,TONY&CARRIE <br /> 10690 ZIEGLERS DRIVE <br /> BROOKLYN PARK, MN 55443- <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. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> pertnits. All provisions of laws and ordinances goveming 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 I80 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 are <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 Signature Date Issued By Signature Date <br />