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� <br /> ` ' CITY OF ORONO PERMIT NO.: 2oiaoosio <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 5535(- DATE ISSUED: 06/22/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1978 SHADYWOOD RD <br /> PIN : 17-117-23-24-0026 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 2,981.79 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 2981.79 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DECK PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO: 20 1 0-005 1 1 <br /> APPLICANT ADVANCED PLAN REVIEW 57.53 <br /> PETERS,BRIAN TOTAL 57.53 <br /> 1978 SHADYWOOD ROAD <br /> WAYZATA,MN 55391- <br /> OWNER <br /> PETERS,BRIAN <br /> 1978 SHADYWOOD ROAD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned 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 sepazate <br /> permits. All provisions of laws and ordinances goveming 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 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 /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />