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CITY OF ORONO * 2 0 1 8 - 0 0 1 1 9 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 02/06/2018 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 650 PINEHURST CT <br /> PIN : 06-117-23-34-0006 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 18 BLOCK 1 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 650,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 650,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW SINGLE FAMILY HOME <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:20 1 8-00 1 1 8 <br /> APPLICANT ADVANCED PLAN REVIEW 2,871.32 <br /> TOTAL 2,871.32 <br /> NORTON HOMES Payment(s) <br /> 18215 45TH AVE N,STE D CREDIT CARD 6532 2,871.32 <br /> PLYMOUTH,MN 55446- <br /> (763)559-2991 <br /> Minnesota State License#:BUIL-BC639221 <br /> OWNER <br /> Source Land Development Inc. <br /> 18215 45TH AVE N <br /> STE D <br /> PLYMOUT'H,MN 55446- <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. 1'his permit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of Iaws and ordinances goveming this type of work <br /> shall be compied with whether or not specified hetein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature �', Date Issued By Signature Date <br />