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CITY OF ORONO PERMIT NO.: 2011-00899 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEu: 08/19/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1205 DICKENSON ST <br /> PIN : 02-117-23-31-0040 <br /> LEGAL DESC : MINNETONKA BLUFFS <br /> : LOT 000 BLOCK 016 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 4,300.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT: $4300.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: SHED <br /> PERMIT#TkIIS PRE-PAYMENT IS TIED TO:BUILDING PERMIT-#201 1-00898 <br /> APPLICANT ADVANCED PLAN REV[EW 76.70 <br /> WOTIPKA, LINDA A& LEE A TOTAL 76.70 <br /> 9908 NW 20TH ST <br /> PEMBROKE PINES, FL 33024 <br /> OWNER <br /> WOTIPKA, LINDA A& LEE A <br /> 9908 N W 20TH ST <br /> PEMBROKE PINES, FL 33024 <br /> AGREEMENT AND SWORN STATEMENT <br /> "Che work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,anJ thc <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or rela[ed work which requires separa[e <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied herein."fhis 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 Statc E3uilding Code.This permit may be <br /> revoke t any time for due cause. <br /> ,� �- � �� � g i �q i��I t ct�t � l 1 i l <br /> Applicant Permitee Sign ure Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />