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� <br /> CITY OF ORONO * 2 0 1 6 - 0 PJ 1 2 2 * <br /> • " 2750 KELLEY PARKWAY DATE ISSUED: 02/OS/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3683 NORTH SHORE DR <br /> PIN : 08-117-23-34-0053 <br /> LEGAL DESC : CRYSTAL BEACH <br /> : LOT 005 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 210,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 210,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION/REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00121 <br /> APPLICANT ADVANCED PLAN REVIEW 1,171.90 <br /> TOTAL 1,171.90 <br /> HOMES BY LEGACY Payment(s) <br /> 34 WATERSTREET CHECK 5393 1,171.90 <br /> SUITE A <br /> EXCELSIOR,MN 55331- <br /> (612)270-6214 <br /> Minnesota State License#: BUIL-BC667652 <br /> OWNER <br /> RESSLER,JON <br /> 3683 NORTH SHORE DR <br /> WAYZATA,MN 55391- <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. AII 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 res onsible for as ed inspections are <br /> requested in c orm nce wit e State Building de.This permit may be <br /> revoked at y time for due c se. <br /> � � 2 � �� � � � � � <br /> Appli t Pe D e Issued By Signature �— Date <br />