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' ' CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 7 - 0 PJ 0 1 3 * <br /> DATE ISSUED: OU12/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4450 FOREST LAKE LANDING <br /> PIN : 07-117-23-24-0016 <br /> LEGAL DESC : TONKAVIEW GARDENS <br /> : LOT O11 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : �3� l��`-�����'✓�t��"ll <br /> VALUATION : $ 3,400.00 <br /> NOTE: (2)HELICAL PIERS-DECK REPAIR <br /> APPLICANT PERMIT FEE SCHEDULE 108.38 <br /> PLAN REVIEW 70.45 <br /> JESSE TREBIL(SAFE BASEMENTS) STATE SURCHARGE(VALUATION) 1.70 <br /> 60335 US HWY 12 <br /> LITCHFIELD, MN 56387- TOTAL 180.53 <br /> (320)974-8729 Payment(s) <br /> Minnesota State License#: BUIL-20446489 CREDIT CARD 3188 180.53 <br /> OWNER <br /> SULLIVAN-TEELE,AMY <br /> 4450 FOREST LAKE LANDING <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <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 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 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 <br /> revoked at any time for due cause. <br /> [ �(�c� �1�� / � �z--�/ 7 <br /> Applicant Permitee Si"�nature Date Issue y Signature Date <br />