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CITY OF ORONO * 2 0 1 4 - 0 0 0 5 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OUi6/2014 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 3090 NORTH SHORE DR <br /> PIN : 09-117-23-32-0006 <br /> LEGAL DESC : CRYSTAL BAY PARK <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 102,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT: $ ]02,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2014-00053 <br /> APPLICANT ADVANCED PLAN REVIEW 694.69 <br /> AMALIA G.CONSTRUCTION INC. TOTAL 694.69 <br /> 639 INTERLAKEN Payment(s) <br /> CREDIT CARD 2796 694.69 <br /> VICTORIA,MN 55386- <br /> Minnesota State License#: BUIL-BC396470 <br /> OWNER <br /> MCGLYNN,DAN <br /> 3090 NORTH SHORE DR <br /> WAYZATA,MN 55391- <br /> AGREEMENT A1vD 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 aRer work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any tim for du cause. <br /> !, ��� (/ �ZZ'��`vl'L ' l l <br /> plicant Permitee Signature �Date Issued By S'g ature Date <br />