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CITY OF ORONO * z 0 1 2 - 0 0 4 z 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/18/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4051 HIGHWOOD RD <br /> PIN : 07-117-23-44-0076 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1420 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REV[EW <br /> VALUATION : $ 30,000.00 <br /> NOTF',: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT: $30,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DECK REPAIR <br /> PERMIT#THIS PRE-PAYMENT IS TIGD TO:2012-00429 <br /> APPLICANT ADVANCED PLAN REVIEW 303.39 <br /> CONCEPT LANDSCAPING TOTAL 303.39 <br /> 3153 PRIEST LANE <br /> MOUND, MN 55364 <br /> �) <br /> OWNER <br /> ROUSE, WILLIAM&ANITA <br /> 4051 H[GHWOOD ROAD <br /> MOUND,MN 55364 <br /> AGREEMENT AND SWORN STATEMEIYT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicabie City approvals,and thc <br /> State[3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separatc <br /> pennits. Ali provisions oY 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 I 80 days of the date of issuance,or if eonstruction is <br /> suspended for a period of 180 days at any time afrer work has commenced. <br /> 1'he applicant is responsible for assuring all required inspections are <br /> requestcd in conformance with the Sta[e Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Perrnitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />