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CITY OF ORONO * 2 0 1 5 - 0 0 8 1 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/23/2015 <br /> ORONO, MN 55356- <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDftESS : 4009 NORTH SHORE DR <br /> PIN : 07-117-23-44-0004 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 600,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 600,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-00814 <br /> APPLICANT ADVANCED PLAN REVIEW 2,700.48 <br /> TOTAL 2,700.48 <br /> Craig Scherber&Associates,Inc. Payment(s) <br /> 305 LAKEVIEW DR CHECK 10042 2,700.48 <br /> TONKA BAY,MN 55331- <br /> (612)810-3484 City o� Orono <br /> 2750 Kelley Parkway <br /> Orono MN 55356 952-249-4600 <br /> OWNER Receipt No: 3.013674 Jun 23, 201� <br /> Craig Scherber&Associates,Inc. <br /> 305 LAKEVIEW DR Crdig Scherber & Associates <br /> TONKA BAY,MN 55331- <br /> Previous Balance: .00 <br /> Permits <br /> Plan Review 2,100.48 <br /> AGREEMENT AND SWORN STATEMENT 101-3d410 <br /> The work for which this permit is issued shall be performed according to Pian Check/Si te Exam Fees <br /> the approved plans and specifications,applicable City approvals,and the --------------- <br /> S[ate Building Code. This permit is for only the work described and dces Tote l: 2,700.48 <br /> not grant permission for additional or related work which requires separate _______________ <br /> permits. All provisions of laws and ordinances governing this type of work Cheek <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 CheCk No: 10042 2,700.48 <br /> commenced within 180 days of the date of issuance,or if construction is PeyUr: <br /> suspended for a period of 180 days at any time after work has commenced. Crel g SCherber & Associates <br /> The applicant is responsible for assuring all required inspections aze TotB? Appl led: 2,7G0.48 <br /> requested in conformance with the State Building Code.This permit may be <br /> --------------- <br /> revoked at any time for due cause. Change Tendered• .00 <br /> 1 f ' � --__-___- --- <br /> (' � � , -- � -=---= � <br /> 1...�. ;�/�_ �L �� �, 06/23/2015 02:51PM <br /> App cant Permitee Signature Date Issued 13y signature Date <br />