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CITY OF ORONO * z 0 1 7 - 0 0 3 5 8 * <br /> 2750 KELLEY PARKWAY DATE [SSUED: 04/13/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3010 SOMERSET LA <br /> PIN : 04-117-23-22-0029 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN <br /> : LOT 001 BLOCK 003 <br /> PERM[T TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 10,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 10,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DECK <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-00359 <br /> APPLICANT ADVANCED PLAN REVIEW 130.86 <br /> TOTAL 130.86 <br /> BUTLER, PATRICK&JILL payment(s) <br /> 3010 SOMERSET LA CREDIT CARD 4160 130.86 <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> BUTLER,PATRICK&JILL <br /> 3010 SOMERSET LA <br /> LONG LAKE, MN 55356- <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 City 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 rype 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 /> �� k.� !' �/ �U �i �� i�7 <br /> Applicant Permitee Signature Date Issued By gnature Date <br />