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� CITY OF ORONO * 2 0 1 6 - 0 0 0 6 1 * <br /> � 2750 KELLEY PARKWAY DATE [SSUED: OU19/2016 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1375 PARK DR <br /> PIN : 07-117-23-41-0079 <br /> LEGAL DESC : SIDWELL ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 130,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERM[T: $ 130,000.00 <br /> TYPE OF PERMIT TH[S PAYMENT IS FOR: ADDITON/REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00060 <br /> APPLICANT ADVANCED PLAN REV[EW 844.30 <br /> HANSEN HOMETECH INC. TOTAL 844.30 <br /> 7920 KERBER Payment(s) <br /> CHECK 29843 844.30 <br /> CHANHASSEN, MN 55317 <br /> (952)394-0854 <br /> OWNER <br /> GEHL, LARRY <br /> 1375 PARK DR <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 onty 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 /> expice 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 {I,� ) <br /> revoke t any time for due cause. �,.{/ <br /> � � � 1� r� �v'C �' �'� ��,��`� � �:- � � j `�1� 4� <br /> A cant Permitee Signature D e Issued By Signatur6 Date <br />