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CITY OF ORONO I II 1, I II 1 I Il3 II II 1 it I I I IIII I <br /> * 2012 - 00423 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/17/2012 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 950 WILLOW VIEW DR <br /> PIN : 28-118-23-44-0017 <br /> LEGAL DESC : WILLOW VIEW <br /> : LOT 006 BLOCK 003 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 16,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$16000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: SPORT COURT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-00424 <br /> APPLICANT ADVANCED PLAN REVIEW 182.16 <br /> KANIVE,JUSTIN&ALYSSA TOTAL 182.16 <br /> 950 WILLOW VIEW DR <br /> LONG LAKE,MN 55356- PAID WITH CC# 5367 <br /> OWNER <br /> KANIVE,JUSTIN&ALYSSA <br /> 950 WILLOW VIEW DR <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 />