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CITY OF ORONO * Z 0 1 2 - 0 0 5 S 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/22/2012 <br /> ORONO,MN 55356- <br /> 952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1300 LOMA LINDA AVE <br /> PIN : 07-117-23-41-0083 <br /> LEGAL DESC : VOLK JOHNSTON ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 4,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ $4000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-00586 <br /> APPLICANT ADVANCED PLAN REVIEW 67.11 <br /> JASON HUESMANN, STEFANIE JOHNSON& TOTAL 67.11 <br /> 1300 LOMA LINDA AVE <br /> MOUND,MN 55364- <br /> OWNER <br /> JASON HUESMANN,STEFANIE JOHNSON& <br /> 1300 LOMA LINDA AVE <br /> MOLJND,MN 55364- <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 sepazate <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 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in confo ith the State Building Code.This permit may be <br /> revoked at o e cause. <br /> � � ZZ � IZ. <br /> i i <br /> Applic t Pe itee Signature Date Issue y S' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB VE. <br />