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CITY OF ORONO * 2 0 1 4 — fd 0 5 5 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/04/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1265 SHORELINE DR <br /> PIN : 02-117-23-34-0010 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1123 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 125,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 125,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FO REMODEL <br /> PERM[T#THIS PRE-PAYMENT IS TIED TO: 2014-00560 <br /> APPLICANT ADVANCED PLAN REVIEW 784.39 <br /> LAKE COUNTRY BUILDERS,LTD TOTAL 784.39 <br /> Payment(s) <br /> 339 2ND STREET CREDIT CARD 4185 784.39 <br /> EXCELSIOR, MN 55331 <br /> (952)474-7121 <br /> Minnesota State License#: BUIL-20349679 <br /> OWNER <br /> MCCABE,ROGER <br /> 1265 SHORELINE 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 Ciry approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for addi[ional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 />