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CITY OF ORONO * 2 0 1 3 - 0 0 3 9 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/2U2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1501 BAY RIDGE RD <br /> PIN : 10-117-23-34-0007 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0192 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 2,000.00 <br /> NOTE: PLEASE FILL IN THG FOLLOWING: <br /> VALUATION OF PERMIT: $ $2000.00 <br /> TYPE OF PERMIT THIS YAYMENT IS FOR: BUILDING PEF�M[T <br /> PERMIT#THIS PRE-PAYMENT IS TIF,D TO:2013-00391 <br /> APPLICANT ADVANCED PLAN REVIEW 47.94 <br /> GERMANSON,DON&TWILA TOTAL 47.94 <br /> 1501 BAY RIDGE RD <br /> WAYZATA, MN 55391- <br /> OWNER <br /> GERMANSON, DON&TWILA <br /> 1501 BAY RIDGE RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT A1vD 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 /> S[ate 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 whe[her or no[specitied 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.cesponsible for assuring all required inspections are <br /> requested in nform c with the State Building Code.This permit may be <br /> revoked at�"me or ue cause. <br /> / " �� �( , / / <br /> Applica�it ermiCee Signature Date Issued By Si ature /Bate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />