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r <br /> � CITY OF ORONO * z 0 1 z — 0 0 7 8 z * <br /> � . 2750 KELLEY PARKWAY <br /> DATE ISSUED: 08/13/2012 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2850 LITTLE ORCHARD WAY <br /> P[N : 09-117-23-21-0007 <br /> LEGAL DESC : LITTLE ORCHARD <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW ,. <br /> ,�:i �t�I�ii ,a:r3Sb <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 15,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> U'IG��. <br /> VALUATION OF PERMIT:$ $15,000.00 rniE:' <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERM[T ''�''-' <br /> PERM[T#THIS PRE-PAYMENT IS TIED TO:2012-00783 '��r'' <br /> ;..3��. <br /> ,. cr_ <br /> �3i� i7�_� <br /> „� _..__._____ <br /> •,�rk Nc�: #343 1?� <br /> ly�ar: <br /> -;� 5w�ns�ari <br /> :� I��pp1.F!a: f7c. <br /> � �r�. .. ��: �...___..._.__. <br /> %�.t' r:},�:; . <br /> APPLICANT ADVANCED PLAN REVIEW 172.58 <br /> SWENSON,JAY TOTAL 172.58 <br /> 2850 LITTLE ORCHARD WAY <br /> WAYZATA, MN 55391- <br /> OWNER <br /> SWENSON,JAY <br /> 2850 LITTLE ORCHARD WAY <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. This permit is for only Ihe work described and does <br /> not grant permission 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.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 /> "Che applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> oke t any time f ue cause. <br /> �/ �� / ��� <br /> / / <br /> Ap �cant ermitee Signature Date Issued By 'i nature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB <br />