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111111111111111111 IN <br /> CITY OF ORONO 1 1 <br /> Z pJ 1 3 - 0 0 6 9 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/17/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 760 TONKAWA RD <br /> PIN 05-117-23-34-0007 <br /> LEGAL DESC PARTENS POINT 1ST DIV <br /> LOT 013 BLOCK 000 <br /> PERMIT TYPE ADVANCED PLAN REVIEW <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADVANCED PLAN REVIEW <br /> ACTIVITY 434-RESIDENTIAL <br /> VALUATION $ 650,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT: $650,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW SINGLE FAMILY RESIDENCE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-00660 <br /> APPLICANT ADVANCED PLAN REVIEW 2,734.39 <br /> SCHRADER& COMPANIES TOTAL 2,734.39 <br /> 4725 EXCELSIOR BLVD#300 <br /> ST LOUIS PARK,MN 55416- <br /> (952)465-3582 <br /> Minnesota State License#: BC592473 <br /> OWNER <br /> BORDSON, BRENT&NANCY <br /> 760 TONKAWA RD <br /> LONG LAKE, MN 55356- <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 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 /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />