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CITY OF ORONO * z 0 1 7 - 0 0 1 5 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/17/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1750 SHADYWOOD RD <br /> p�i� � : 17-117-23-21-0021 <br /> LEGAL D�SC : SHADY-WOOD <br /> : LOT 016 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 880,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 880,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-00149 <br /> APPLICANT ADVANCED PLAN REVIEW 3,656.20 <br /> TOTAL 3,656.20 <br /> STONEWOOD DESIGN BUILD Payment(s) <br /> 7407 WAYZATA BLVD CHECK 14606 3,656.20 <br /> MINNEAPOLIS,MN 55426- <br /> (952)697-5075 <br /> Minnesota State License#: BUIL-BC5943]5 <br /> OWNER <br /> SHAW,GRETCHEN& LYLE <br /> 7001 KENESTON DR <br /> EDEN PRAIRIE, MN 55346- <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 Ciry 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 l80 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 /> � �l 2 � � � � ✓� <br /> G' � � � <br /> Applicant Permitee Signature Date I sue By Sign ture Date <br />