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CITY OF ORONO * Z 0 1 4 - 0 0 3 7 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/28/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2060 SIXTH AVE N <br /> PIN : 27-118-23-31-0002 <br /> LEGAL DESC : UNPLATTED 27 1 18 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : fi-�9E1�i�L �'e.C�s-Qu�, <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 78,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUA"I�ION OF PERMIT: $ 78000.00 <br /> "1'YPG OF PERMIT TI�IS PAYMENT IS FOR: [3U[LDING PERMIT <br /> PERMIT#T�H[S PRE-PAYMENT IS TIED TO:2014-00376 <br /> APPLICANT ADVANCED PLAN REVIEW 579.64 <br /> CHURCH,TRINTY LUTHERAN TOTAL 579.64 <br /> Payment(s) <br /> 2060 SIXTH AVE N CHECK 101 1 579.64 <br /> LONG LAKE, MN 55356- <br /> OWNER <br />� <br /> „ CHURCH,TRINTY LUTHERAN <br /> 2060 SIXTH AVE N <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The�vork for which this permit is issued shall be performed according to <br /> the approved plans and specitications,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 separate <br /> permits. All provisions ot�laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied 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 confonnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � <br /> / / <br /> Applican ermitee Signat re Issued By Si ature � Date <br />