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., , . CITY OF ORONO * 2 0 1 2 — 0 1 0 6 5 * <br /> ' 2750 KELLEY PARKWAY nATE ISSUED: 10/23/2012 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: 952) 249• <br /> ADDRESS : 25 STUBBS BAY RD N City of Orono <br /> PIN : 32-118-23-34-0005 2750 Kelley Parkway <br /> Oro►� M�I 55356 952-249-4600 <br /> LEGAL DESC : UNPLATTED 32 118 23 <br /> : LOT 000 BLOCK 000 Receipt No: 3.007844 �t 23, 2012 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL Dennis Kru�p <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW Previous Balance: ,pp <br /> Per�its <br /> VALUATION : $ 15,000.00 Rd12-01465 25 Stubbs Bay i7P,gg <br /> NOTE: PLEASE FILL IN THE FOLLOWING: 141-34410 <br /> Plan Check/Site Exa� Fees <br /> VALUATION OF PERMIT:$ 15,000.00 ___�________� <br /> total: 17�,� <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION/REMODEL-GARAGE ���k =--_-------� <br /> Che�k No: 6368 172.58 <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-01064 Payor: <br /> Dennis Kru�p <br /> Total Applied: 17�,Sg <br /> Change Ter�dered: �~ ,00 <br /> 10I23/2012 11;47pM� �__��_ <br /> APPLICANT ADVANCED PLAN REVIEW 172.58 <br /> KRUMP,DENNIS <br /> 25 STUBBS BAY RD N TOTAL 172.58 <br /> MAPLE PLAIN,MN 55359- <br /> OWNER <br /> KRUMP,DENNIS <br /> 25 STUBBS BAY RD N <br /> MAPLE PLAIN,MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned 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 dces <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shali 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 aze <br /> requested in conformance with the State Building Code.This permit may be /�'`'/ <br /> revo d at any time for due cause. <br /> ' � � �� � , �q -�3 � <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />