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CITY OF ORONO * Z 0 1 5 - 0 1 2 0 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/18/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1190 LOMA LINDA AVE <br /> PIN : 08-117-23-23-0003 <br /> LEGAL DESC : LINPLATTED 08 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE . ADVANCED PLAN REVIEW w,r�'"`'� <br /> ACTIVITY . 434-RESIDENTIAL ��,.���'��� <br /> VALUATION : $ 5,000.00 �� '`� <br /> NOTE: PLEASE FILL M THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 5,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DECK <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-01206 <br /> APPLICAIVT ADVANCED PLAN REVIEW 80.54 <br /> MITCHELL,MARK&ELIZABETH TOTAL 80.54 <br /> Payment(s) <br /> 1190 LOMA LINDA AVE CASH 80.54 <br /> MOLJND,MN 55364 <br /> OWNER <br /> MITCHELL,MARK&ELIZABETH <br /> 1190 LOMA LINDA AVE <br /> MOLJND, 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 /> Sta[e 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 /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />