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CITY OF ORONO * 2 0 1 4 - 0 0 3 3 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/21/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4460 FOREST LAKE LANDING <br /> PIN : 07-117-23-24-0015 <br /> LEGAL DESC : TONKAVIEW GARDENS <br /> : LOT O10 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN RF.VIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN RFVIEW <br /> VALUATION : $ 25,000.00 <br /> NOTE: PLGASE E�[LL IN THF FOLLOWING: <br /> VALUATION OF PI;RMiT:$ $25,000.00 <br /> TYPE OF PERMIT"1'111S PAYMENT IS FOR: I3UILDING PERMIT <br /> PER;�II"I #TH[S PRf;YAYMI,NT IS TIED TO: 2014-00340 <br /> APPLICANT ADVANCED PLAN REVIEW 268.45 <br /> LEE'S LANDSCAP[NG & DESIGN TOTAL 268.45 <br /> 7990 69TH AVE N Payment(s) <br /> CREDIT CARD 1822 268.45 <br /> ROCKFORD, MN 55373- <br /> (763)688-12 l 7 <br /> Minnesota State License #: BUIL-BC665790 <br /> OWNER <br /> MARTINSON, PAUL& IDA& PETER <br /> 4460 FOREST LAKE LANDING <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicablc City approvals,and the <br /> State Building Code. This pennit 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 datc of issuance,or if construc[ion is <br /> suspended ibr a period of 180 days at any time afier work has commenced. <br /> The applicant is responsible for assiuing all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at� y time for due cause. <br /> �-�?�—/ / / <br /> icant Permitee Signature Date Issued I�y Sig ture ' Date <br />