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CITY OF ORONO * 2 0 1 3 - m 1 z 1 z * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U13/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3420 BAYSIDE RD <br /> PIN : OS-117-23-13-0012 <br /> LEGAL DESC : AUDITOR'S SUBD. NO. 203 <br /> : LOT 020 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 2,400.00 <br /> NOTE: PLEASE F[LL IN THE FOLLOWING: <br /> VALUATION OF PERMI"1: $ 2,400.00 <br /> TYPE OF PERMIT'I'HIS PAYMENT IS FOR: BUILDING PL-'RMIT <br /> PERMIT#THIS PRE-PAYMEN"f IS TIED TO:2013-01213 <br /> APPLICANT ADVANCED PLAN REVIEW 57.53 <br /> MILESKI&APRiL NEWTON, BLAIR TOTAL 57.53 <br /> 3420 BAYSIDE RD <br /> LONG LAKE, MN 55356- PAID WITH CC# 9631 <br /> OWNER <br /> MILESKI& APRIL NEWTON, BLAIR <br /> 3420 BAYSIDE 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 permi[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."I'his 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 afrer work has commenced. <br /> The applieant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may bc <br /> revokdc�at any time Yor due Gause. <br /> I - � �� � <br /> / / / / <br /> � ermitee Signature Date Issued By S� ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB <br />