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CITY OF ORONO * 20 <br /> 2 0 7�� III 2 5 II! *. <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/04/2017 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1860 WEST FARM RD <br /> PIN : 27-118-23-43-0018 <br /> LEGAL DESC : THE FARM AT LONG LAKE <br /> : LOT 019 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <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/PORCH <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO: 2017-01403 <br /> APPLICANT ADVANCED PLAN REVIEW 130.86 <br /> BELTRAND,MARK R&ELIZABETH Y TOTAL 130.86 <br /> Payment(s) <br /> 1860 WEST FARM RD CHECK 5017 130.86 <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> BELTRAND,MARK R&ELIZABETH Y <br /> 1860 WEST FARM RD <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 By Signature Date <br />