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� CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 PJ 1 4 - 0 1 4 8 7 * <br /> DATE ISSUED: 12/3U2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2470 CARMAN ST <br /> PIN : 20-117-23-12-0066 <br /> LEGAL DESC : LEHMAN LAGOON • <br /> : LOT 1 BLOCK l <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 965,000.00 <br /> NOTE: PLEASF,FILL[N THE FOI,LOWING: <br /> VALUATION OF PERMIT:$ 965,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE <br /> PGRMIT#THIS PRE-Pi1YMF,NT[S TIED TO:2014-01488 <br /> APPLICANT ADVANCED PLAN REVIEW 3,758.14 <br /> STONEBAY BUILDERS LLC TOTAL 3,758.14 <br /> 14870 BROCKTON LANE Payment(s) <br /> CHECK 13252 3,758.14 <br /> DAYTON, MN 55327- <br /> (612)363-4304 <br /> Minnesota State License#: BUIL-BC681308 <br /> OWNF.R City of Orono <br /> Lakeshore Holdings LLC OroO�KeMNey55356Wdy <br /> 9Ci2-2k9-4Ei00 <br /> 153 E LAKE ST ��, <br /> WAYZATA, MN 55391- eipt No: 3.012536 Dec: 31, ���4 <br /> r�ewood LLC <br /> vious Balance: •��� <br /> AGREEMENT AND SWORN STATEMENT mits <br /> � ;4-01487 2470 Carmen 3,758•14 <br /> The work f�or which this permit is issued shall be performed according to <br /> [he approved plans and specifications,applicable City approvals,and [he -3441 U <br /> State Building Code. This permit is for only the work described and does :`t Cheek/Si te Exam Fees <br /> not grant permission for additional or rclated work which requires separate 3.�58.14 <br /> permits. All provisions of laws and ordinances governing this type of work `'�1: __ ___ ____ ___ <br /> shall be compied with whether or not specified herein.This permit will +,k <br /> expire and become null and void if construction authorized is not �f1eCk No: 13252 3,758.14 <br /> commenced within I80 days of the date of issuance,or if construction is •��9ypY; <br /> suspended for a period of lA0 days at any time afrer work has commenced. �fiOfleWoO� LLC <br /> [he applicant is responsible for assuring all required inspec[ions are ttI Appl led: :S,758.14 <br /> ----------- <br /> requested in conformance with the State Building Code.This permit may be �� <br /> revoked at any time for duc cause. .,.ige TBlld�l'2d: <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />