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� '� CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 6 — 0 0 0 7 2 * <br /> DATE ISSUED: OU20/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952 249-4616 <br /> ADDRESS : 3590 NORTH SHORE DR , <br /> PIN : 08-117-23-34-0062 ����� k_I i�•y F .'���'a� <br /> LEGAL DESC : N/A Orono MN 55356 952-249-4600 <br /> : LOT 000 BLOCK 002 Receipt Na: 3.014954 Jan 20. 2016 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW The Broadway 6roup <br /> ACTIVITY : 434-RESIDENTIAL Previous Balance: .00 <br /> VALUATION : $ 200,000.00 Permits <br /> NOTE: PLEASE FILL IN THE FOLLOWING: 2016-00072 3590 N Shore 1,130.95 <br /> Dr <br /> VALUATION OF PERMIT:$ 200,000.00 101-34410 <br /> Plan Check/Site Exam Fees <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: REMODEL --------------- <br /> Total: 1,130.95 <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00073 �____________-- <br /> Check <br /> Check No: 1853 1,13U.95 <br /> Payor: <br /> Tha Broadway Group <br /> Tntal ApUlied: 1,130.S5 <br /> ;,.����;,� �.�� .� ,��� ���, <br /> APPLICANT ADVANCED PLAN REVIEW 1,130.95 <br /> ABBOTT,WILLI TOTAL 1,130.95 <br /> 3590 NORTH SHORE DR Payment(s) <br /> CHECK 1853 1,130.95 <br /> WAYZATA,MN 55391- <br /> OWNER <br /> ABBOTT,WILLI <br /> 3590 NORTH SHORE DR <br /> WAYZATA,MN 55391- <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 dces <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 suthorized 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 atler work has commenced. <br /> 7'he 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 />