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CITY OF ORONO * 2 0 1 7 - 0 0 6 3 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/13/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1325 REST POINT LA <br /> PIN : 07-117-23-32-0053 <br /> LEGAL DESC : TONKAVIEW GARD�NS <br /> : LOT 074 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 300,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 300,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR:' 2017-00637 <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO':NEW HOUSE <br /> APPLICANT ADVANCED PLAN REVIEW 1,540.45 <br /> T C HOMES TOTAL 1,540.45 <br /> 13501 BALSAM LAKE LANE N Payment(s) <br /> DAYTON,MN 55327- CHECK 27515 1,540.45 <br /> (612)221-2704 <br /> Minnesota State License#:BUIL-BC3442S9 <br /> OWNER <br /> BLOMS,GERALD&NANCY <br /> 4195 FOREST LAKE DR <br /> MOLJND,MN 55364 <br /> AGREEMENT AIYD SWORIV 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 authdrized is not <br /> commenced within l80 days of the date of issuance,qr if construction is <br /> suspended for a period of 1 SO days at any time after Nyork has commenced. <br /> The applicant is responsible for assuring all required i�spections 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 />