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_ � <br /> � CITY OF ORONO * z 0 1 Z — 0 0 2 6 9 * <br /> 27�0 KELLEY PARKWAY DATE ISSUED: 04/10/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3925 CHERRY AVE <br /> PIN . 08-117-23-33-0086 <br /> LEGAL DESC : HICKORY HILL <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 290,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 290,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE <br /> PERMIT#THIS PRE-PAYMENT IS TIED T0:2012-00270 <br /> APPLICANT ADVANCED PLAN REVIEW 1,427.89 <br /> DEAN JOHNSON HOMES TOTAL 1,427.89 <br /> 4700 CTY ROAD 19 <br /> MEDINA, NIN 55357- <br /> (763)479-4820 <br /> Minnesota State License#: 20639439 � � �-, - <br /> . hR! 55;;'-� <br /> OWNER <br /> Real Assets LLC <br /> 550 25TH AVE N <br /> ST CLOUD, MN 56301- ��e��c�tis !?�f;:rk:_ <br /> ,'�r i�:'�s <br /> ,•,�,�..��r,. <br /> AGREEMENT AND SWORN STATEMENT �'�,'.,;��7;, <br /> The work for which this permit is issued shall be performed according to ';; �i£�:. <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 gran[permission for additional or related work which requires separate �-w-= , -- - <br /> permits. All provisions of laws and ordinances governing this typc of work << <br /> shall be compied with whether or not specified herein.This permit will '�'� �� 7��� j4'1 <br /> expire and become null and void if construction authorized is not '�r T <br /> commenced within 180 days of the date of issuance,or if construction is sn �Gh�1��?ri �+C�N''t� <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 anv time for due cause. <br /> l l cr�_ l /C� l <br /> Applicant Permitee Signature DaCe Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />