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' � CITY OF ORONO PERMIT NO.: 2009-00176 <br /> � <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �ssuEn: 04/24/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3186 NORTH SHORE DR <br /> PIN : 09-117-23-32-0010 <br /> LEGAL DESC : CRYSTAL BAY PARK <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> NOTE: BUILDING PERMIT#2009-00177 <br /> PLAN REVIEW PAID 4/24/09-CHECK#4553 <br /> APPLICANT ADVANCED PLAN REVIEW 1,856.89 <br /> NEDDERMEYER, GLEN TOTAL 1,856.89 <br /> 709 MINNETONKA H[GHLAND LA <br /> LONG LAKE, MN 55356- <br /> '�nu t�+f 5;;,��iz <br /> OWNER s�ti,L �tin: .� <br /> NEDDERMEYER, GLEN <br /> 709 MINNETONKA HIGHLAND LA <br /> LONG LAKE, MN 55356- <br /> _ �h^tve� ,,.� , _ <br /> AGREEMENT AND SWORN STATEMENT 4��'�'� f <br /> r�: Ci��ack.��tr Exau= , - �- <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 governing this type of work ��E'`'� �'6` '�r <br /> shall be compied with whether or not specified herein.This permit will �yUw' <br /> �'pn �Si��Y"�I' <br /> expire and bewme null and void ifconstruction authorized is not i! !?a�2iE�' <br /> commenced within ]80 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 responsibie for assuring all required inspections are - ._.�__- <br /> __._. <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />