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CITY OF ORONO * Z 0 1 6 — 0 1 5 6 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/27/2016 <br /> ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADQitESS : 3295 CRYSTAL BAY RD <br /> PIN : 17-117-23-41-0013 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 815,425.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 815,425.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME <br /> PERMIT#THIS PRE-PAYMENT[S TIED TO:2016-01567 <br /> PAID WITH CHECK#37391 WHICH[NCLUDED THE ESCROW FEE <br /> APPLICANT ADVANCED PLAN REVIEW 3,437.80 <br /> TOTAL 3,437.80 <br /> PILLAR HOMES Payment(s) <br /> 1700 NIAGARA LANE N CHECK 37391 3,437.80 <br /> PLYMOUTH, MN 55447 <br /> (763)475-1700 <br /> OWNER <br /> GREG BLASKO&WHITNEY WINDMILLER <br /> 3295 CRYSTAL BAY RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEME1vT <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 goveming 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 � �j <br /> reuoked any time for due cause. <br /> , -_� n -- � ��� �� � �� ���C ����_' �% � ! /� ���� <br /> /� ��" �/'i � <br /> Applicant Pe ite ignature ate Issued By Signature Date <br />