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x <br /> CITY OF ORONO * 2 0 1 4 - 0 0 9 8 0 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/02/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 3035 CASCO POINT RD <br /> PIN 20-117-23-34-0001 <br /> LEGAL DESC REG. LAND SURVEY NO. 0394 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE ADVANCED PLAN REVIEW <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADVANCED PLAN REVIEW <br /> VALUATION $ 150,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT: $ 150,000.00 <br /> TYPE OF PERMITTIIIS PAYMENT IS FOR: ADDITION <br /> PERMIT TIIIS PRE-PAYMENT IS TIED TO: 2014-00981 <br /> APPLICANT ADVANCED PLAN REVIEW 881.89 <br /> TOTAL 881.89 <br /> DIETZ BUILDERS LLC Payment(s) <br /> 29315 451ST AVENUE CREDIT CARD 0538 881.89 <br /> GAYLORD, MN 55334- <br /> (507)381-8554 <br /> Minnesota State License#: BUIL-20634396 <br /> OWNER <br /> HULBERT,JAY <br /> 3035 CASCO POINT 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 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 />