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CITY OF ORONO * 2 0 1 7 - 0 1 0 e 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/07/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1760 SHORELINE DR <br /> PIN : 10-117-23-14-0017 <br /> LEGAL DESC : N/A <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 1,020,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 1,020,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-01081 <br /> APPLICANT ADVANCED PLAN REVIEW 4,120.30 <br /> TOTAL 4,120.30 <br /> NOR-SON INC Payment(s) <br /> 700 LAKE STREET E CREDIT CARD 2752 4,120.30 <br /> WAYZATA,MN 55391- <br /> (952)767-7949 <br /> Minnesota State License#:BUIL-BC001969 <br /> OWNER <br /> Woodhouse Shoreline LLC <br /> 600 HIGHWAY 169 S#701 <br /> MINNEAPOLIS,MN 55426- <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 dces <br /> not grant permission far 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 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 Issue Signature Date <br />