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CITY OF ORONO * 2 0 1 4 - 0 PJ 8 6 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/1U2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 475 OXFORD RD <br /> PIN : OS-117-23-41-0010 <br /> LEGAL DESC : STIELOWS ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 10,000.00 <br /> NOTE: YLFASE FILL IN THE FOLLOWING: <br /> VALUATION OF P�RMIT: $ 10,000.00 <br /> I'YP�OF NERMIT THIS PAYMEN'i'IS FOR: BUILDING PERMI"I' <br /> PI;RMIT#TI IIS PRE-PAYMF.NT IS TIED T0:2014-00864 <br /> APPLICANT ADVANCED PLAN REVIEW 124.64 <br /> TOTAL 124.64 <br /> BARKLEY LANDSCAPES Payment(s) <br /> 10820 46TH PLACE N CREDIT CARD 5637 124.64 <br /> PLYMOUTH, MN 55447- <br /> (612)598-9895 <br /> OWNER <br /> CKO VACATION PROPERTIES <br /> 575 OXFORD ROAD <br /> MEDINA, MN 55340- <br /> AGREF,MENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfonned according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. 'i'his 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."I'his 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 responsibl r assuring all required inspections are <br /> requested in confor nc ith the State uilding Code.'�his permit may bc <br /> revoked at any ti o ue cause. <br /> � / / <br /> Ap licant Permitee Signature Date Issued By gnature Date <br />