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CITY OF ORONO PERMIT NO.: 2009-00753 <br /> 2750 KELLEY PARKWAY <br /> ' <br /> ORONO, MN 55356- DATE ISSUED: 10/26/2009 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1085 WILLOW VIEW DR <br /> PIN : 28-118-23-41-0010 <br /> LEGAL DESC : WILLOW VIEW <br /> : LOT 015 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 1250.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT-DECK REPAIR <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2009-00754 <br /> pee- L/e -- Vo, P/arc ,ee i he cha.-6&.. <br /> , e ucEdt 4eef ,$ 5/. oo — 33 is ( lala-pc razi'et.v. e) <br /> 5eLia,t_ee da.i IS. fer 7g6- 7g. 24e. <br /> APPLICANT ADVANCED PLAN REVIEW 33.15 <br /> DYVIG LAND DEVELOPMENT&CONST.LLC TOTAL 33.15 <br /> 13418 EXCELSIOR BLVD. <br /> MINNETONKA, MN 55345- PAID WITH CC# 1523 <br /> (952)452-2227 <br /> Minnesota State License#: 20629808 <br /> OWNER <br /> GUIDERA, WILLIAM&AIMEE <br /> 1085 WILLOW VIEW DR <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 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 /> Applicant Permitee Signature Date Issued B ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHE THAN DESCRIBED ABO . <br />