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CITY OF ORONO PERMIT NO.: 2010-00693 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 08/10/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2050 SHORELINE DR <br /> PIN : 10-117-23-34-0014 <br /> LEGAL DESC : HARTWOOD <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 75,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 75,000 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DECK&SCREEN PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2010-00694 <br /> APPLICANT ADVANCED PLAN REVIEW 565.01 <br /> TONKA MGMT 1 ST TOTAL 565.01 <br /> 4573 SADDLEWOOD DRIVE <br /> MINNETONKA,MN 55345- PAID WITH CC# 9298 <br /> (612)598-3116 <br /> Minnesota State License#:20386358 <br /> OWNER <br /> KVAMME TRUST(TOM BROSTROM),BERTA <br /> 2050 SHORELINE DR <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 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 nuil 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. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCWBED ABOVE. <br />