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CITY OF ORONO * Z 0 1 7 - PJ 0 4 9 1 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: OS/15/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 345 SPRING HILL RD <br /> PIIY : 25-118-23-43-0008 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1429 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 45,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 45,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: SHED <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-00490 <br /> APPLICANT ADVANCED PLAN REVIEW 428.66 <br /> RILEY, ROGER TOTAL 428.66 <br /> Payment(s) <br /> 345 SPRING HILL RD CHECK 6243 428.66 <br /> WAYZATA, MN 55391- <br /> OWNER <br /> RILEY, ROGER <br /> 345 SPRING HILL RD <br /> WAYZATA, MN 55391- <br /> AGREEMEIVT 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 180 days of the date of issuance,or if construction is <br /> suspended for a period of l80 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 /> . � � � <br /> � • � � / <br /> _ ;� � 5 -- � —1 ��� c,�,�.�� f:�.k_�` � _ �I� � �7 <br /> Applicant Permitee Signature � Date Issued By Signature Date <br /> � ' <br />