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�� CITY OF ORONO * z 0 1 5 - 0 1 5 6 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/16/2015 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 770 BROWN RD N <br /> PIN : 34-118-23-12-0006 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1275 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 300,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERM[T:$300,000.00 <br /> TYPE OF PERMIT THIS PAYMENT[S FOR:ADDITION/REMODEL PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-01561 <br /> APPLICANT ADVANCED PLAN REVIEW 1,540.45 <br /> TOTAL 1,540.45 <br /> SCHWARZ BUILDERS INC. Payment(s) <br /> 15119 MINNETONKA BLVD CHECK 16415 1,540.45 <br /> SUITE 100 <br /> WAYZATA,MN 55391 <br /> (952)476-6768 <br /> Minnesota State License#: BUIL-BC003922 <br /> OWNER <br /> HUTTER, ROBI&ALICIA <br /> 770 BROWN RD N <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 Ciry 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 respon'ble for assuring all required inspections are <br /> request d in conforman e �th the State Building Code.This permit may be <br /> rev e t any time for ue c use. <br /> � �..�._�� S 11G% <br /> fZ< < � i� /� V � �l � � � i � hi �� <br /> pplicant ermitee Sig ature Date Issued By Signature Date <br />