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CITY OF ORONO 111111111 111111111111111M <br /> w * 2 0 1 4 — 0 0 6 1 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> PRINTED WITHOUT ISSUING 6/17/2014 <br /> ADDRESS 3740 NORTHERN AVE <br /> PIN 17-117-23-34-9994 <br /> LEGAL DESC REG.LAND SURVEY NO. 0763 <br /> LOT 2 BLOCK 1 <br /> PERMIT TYPE ADVANCED PLAN REVIEW <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 325,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 325,000.00 r� <br /> Y JA <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW STRUCTURE Oil <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2014-00616 <br /> THIS PLAN REVIEW FEE WAS BASED ON THE WRONG VALUATION. AN ADDITIONAL9.50 WILL BE COLLECTED WHEN <br /> ISSUE TO BUILDING PERMIT. <br /> APPLICANT ADVANCED PLAN REVIEW 1,564.39 <br /> TOTAL 1,564.39 <br /> ATLAS HOMES INC Payment(s) <br /> 14450 117TH AVE N CHECK 15301 1,544.89 <br /> DAYTON,MN 55369- TOTAL PAID 1,544.89 <br /> (763)691-9044 DUE 1 0 <br /> Minnesota State License#: BUIL-BC20269686 <br /> OWNER <br /> Real Assets II,LLC <br /> 550 25TH AVE N <br /> ST CLOUD,MN 56303- <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 /> t4 <br /> Applicant Pennitee Signature Date Issued By Signature Date <br />