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liiiiiiiiiiiiiiiiiiiiiimiiiiiiiiiiiiiiiiiiiililI <br /> CITY OF ORONO * 2012 - 01260 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/19/2012 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4725 NORTH SHORE DR <br /> PIN : 07-117-23-32-0066 <br /> LEGAL DESC : BERGQUIST&WICKLUNDS PARK <br /> LOT MB BLOCK 5 <br /> PERMIT TYPE ADVANCED PLAN REVIEW <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 6,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 6,000 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DECK <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-01259 <br /> APPLICANT ADVANCED PLAN REVIEW 86.29 <br /> KATHERINE TAYLOR HOMES,INC. TOTAL 86.29 <br /> 120 RAILWAY STREET W <br /> PO BOX 35 PAID WITH CC# 2239 <br /> LORETTO,MN 55357 <br /> (763)479-0301 <br /> Minnesota State License#:4738 <br /> OWNER <br /> ROEDEL,JOHN <br /> 4725 NORTH SHORE DRIVE <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 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 responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> 119 1 <br /> Applicant Permitee Signature Date � ZIss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />