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CITY OF ORONO * Z 0 1 5 - 0 0 9� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/27/2015 <br /> , - ORONO, MN 55356- <br /> " (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1151 NORTH ARM DR <br /> p�N : 07-117-23-14-0052 <br /> LEGAL DESC : SKARP& LINDQUISTS FERNHILL LA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATTON : $ 7,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 7,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DETACHED GARAGE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-00946 <br /> APPLICANT ADVANCED PLAN REVIEW 100.68 <br /> TOTAL 100.68 <br /> VOGSTROM,PAUL Payment(s) <br /> 1151 NORTH ARM DR CHECK 2146 100.68 <br /> MOLJND,MN 55364- <br /> OWNER <br /> VOGSTROM, PAUL <br /> 1151 NORTH ARM DR <br /> MOUND, 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 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 /> The applicant is responsible for assuring all required inspections are n , <br /> requested in conformance with the State Building Code.This permit may be _ �I�'� <br /> revoked at any time for due cause. <br /> -._�...._ �O � <br /> � • �o � �,�U ``� � ( l� <br /> ! � �" ` <br /> �� � -- � � <br /> ��. <br /> Applicant Permitee Signature Date [ssued By Signature Date <br />