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'� �r CITY OF ORONO PERMIT NO.: 2010-01144 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- �ATE 1SSUEn: 1 U29/2010 <br /> � 952 249-4600 FAX: 952 249-4616 <br /> � <br /> ADDRESS : 1404 BALDUR PARK RD <br /> PIN : 08-117-23-34-0018 <br /> � LEGAL DESC : BALDUR PARK <br /> : LOT 014 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 600,000.00 <br /> NOTG: PLEASE FILL IN THE FOLLOWING: <br /> ADVANCE PLAN REVIEW PD BY 13ENJAMIN MILI3RATl�CHECK 1406 <br /> VALUATION OF PFRMIT:$600,000.00 <br /> TYPG OF PERMIT THIS PAYMENT IS POR: E3UILIDING PERMIT <br /> PERMIT#"1'}IIS PRGPAYMENT IS"I�IED T0:2010-01 145 <br /> FI <br /> k <br /> � <br /> APPLICANT ADVANCED PLAN REVIEW 2,571.89 <br /> E.S. HOMES TOTAL 2,571.89 <br /> 13170 UTICA AVE <br /> SAVAGE, MN 55378- <br /> (612)239-4317 <br /> Minnesota State License#: 20638592 <br /> OWNER <br /> MILBRATH, BENJAMIN <br /> 1404 BALDUR PARK RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> "l�hc work for which this permit is issucd shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> � State Building Code. 'I'his permit is for only the work described and does <br /> � not grant perniission for additional or rcla[ed work which rcquires separ�te <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 /> � reques[ed in confonnancc with the State 13uilding Code.This permit may be <br /> revoked at any time for due cause. i-' <br /> 'i ' <br /> l l ;�f C ,�(� i .�`'� - l l <br /> Applicant Permitee Signature Date Issued[3y 5 gnature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV <br />