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CITY OF ORONO PERMIT NO.: 2010-01083 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 11/03/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 2530 OLD BEACH RD <br /> PIN 21-117-23-22-0008 <br /> LEGAL DESC SHORE HILLS <br /> LOT 023 BLOCK 000 <br /> PERMIT TYPE ADVANCED PLAN REVIEW <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADVANCED PLAN REVIEW <br /> VALUATION $ 10,800.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 10,800.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING ADDITION <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2010-01084 <br /> APPLICANT ADVANCED PLAN REVIEW 134.23 <br /> GERHARD,MARTIN&CHRISTINE TOTAL 134.23 <br /> 2530 OLD BEACH RD <br /> WAYZATA,MN 55391- PAID WITH CASH 134.23 <br /> (952)258-3028 <br /> OWNER <br /> GERHARD,MARTIN&CHRISTINE <br /> 2530 OLD BEACH RD <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. 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 /> r4voked at jAny ti a for due cause. <br /> 11 l 3 / 1 6 <br /> Applicant Pe i e Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />