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CITY OF ORONO * 2 0 1 6 - 0 0 5 3 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/17/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2024 SHADYWOOD RD <br /> PIN : 17-117-23-31-0011 <br /> LEGAL DESC : GUST S JOHNSONS ADDN <br /> : LOT 004 BLOCK 000 <br /> PERMTT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 20,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$20,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DETACHED GARAGE <br /> PERMIT#1T-IIS PRE-PAYMENT IS TIED TO:2016-00531 <br /> APPLICANT ADVANCED PLAN REVIEW 231.54 <br /> TOTAL 231.54 <br /> DANBERRY BLDG CORP. Payment(s) <br /> 5413 MANITOU RD CHECK 8388 231.54 <br /> TONKA BAY,MN <br /> (952)474-5990 <br /> Minnesota State License#:BUIL-BC6389415 <br /> OWNER <br /> KIEFFER,JOHN&BENJAMIN <br /> 2024 SHADYWOOD 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 dces <br /> not grant permission for additional or related work which requires separate <br /> pern►iu. 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. n_ _ <br /> l�� <br /> �� �."� �L�� I"..�SZ�� J I ( 1 I � � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />