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CITY OF ORONO � �� 0 1 1 1 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2014 <br /> ORONO, MN 553_56- <br /> (952) 249-4600 FAX: (9_52) 249-4616 <br /> ADDRESS : 3577 LIVINGSTON AVF <br /> PIN : 17-117-23-43-0049 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 009 BLOCK 004 <br /> PERMIT TYPE : ADDITION/REMODEL 1 REPAIR <br /> PROPERTY TYPE : RESfDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 10,000.00 <br /> NOTE: SEPARATE PERMITS REQU[RGD: PLl!M[31NG, F,I,EC�I�RICAL(S�I�A�I�[) <br /> INTERIOR REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 191.75 <br /> STATE SURCHARGE(VALUATION) 5.00 <br /> DHM HOMES LLC TOTAL 196.75 <br /> 1513 CAMDEN WOODS TERRACE <br /> ST CLOUD, MN 56301- Payment(s) <br /> CHECK 8360 196.75 <br /> OWNER <br /> HANNEMAN, DUSTIN <br /> 3577 LIVINGSTON AVE <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which d�is permit is issued shall be perl�xmed according to <br /> the approved plans and specifications,applicable Ciry approvals,and the <br /> State Building Code. This pennit is for only the work described and does <br /> not grant permission for additional or related work which requires sep��rate <br /> permits. All provisions of law�s 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 /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code."I�his perinit may he <br /> revoked at any time for due cause. �Q � <br /> /� '(�!/ <br /> ��'c .�� �, --:�� � <br /> A �c eimite i�nature Date Issued R��Signati e Date <br />