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RIBEHHUMM <br /> CITY OF ORONO * 2013 - 01204 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11112/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 3745 TOGO RD <br /> PIN 17-117-23-31-0046 <br /> LEGAL DESC TOWNSITE OF LANGDON PARK <br /> LOT 009 BLOCK 010 <br /> PERMIT TYPE ADVANCED PLAN REVIEW <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADVANCED PLAN REVIEW <br /> VALUATION $ 4,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 4,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-01185 <br /> APPLICANT ADVANCED PLAN REVIEW 67.11 <br /> BRENNAN PROPERTIES LLC TOTAL 67.11 <br /> 15680 FISH POINT RD SE <br /> PRIOR LAKE,MN 55378- <br /> (612)616-4447 <br /> Minnesota State License#: BC381410 <br /> OWNER <br /> MACKEY,GERALD <br /> 3745 TOGO 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 does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing 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' responsible for assuring all required inspections are <br /> requeste ' co fo ance with the State Building Code.This permit may be <br /> revo at an ' cause. <br /> iFWlicant ertnitee Signat ire Date Issued By Wnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />