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� ' CITY OF ORONO PERMIT NO.: 2009-00512 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 08/25/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 200 BEDERWOOD DR <br /> PIN : OS-117-23-12-0027 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 203 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 293600.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO: 2009-00513 <br /> APPLICANT <br /> ADVANCED PLAN REVIEW 1,443.49 <br /> ROLLINGBROOK HOMES TOTAL 1,443.49 <br /> 7378 WHITEHALL RD <br /> SHAKOPEE, MN 55379 <br /> (763)227-0700 <br /> Minnesota State License#: 20296303 ;:'��, l,�s��e; �. :, <br /> 7ror,r M�': �`;5�� U.;-' , .,r <br /> OWNER `.�.�i�i�} N��: ;i�;i(��;�`.-` rat;::, ;:_., c:.i{j'. <br /> AZAD,ALISHAH - <br /> 200 BEDERWOOD DR ',�li:r� ;_,,,,-, .�:-,;r<,.. • . <br /> LONG LAKE, MN 55356- <br /> Fi 1�: <br /> .;pL�V._(��:� . <br /> ;�=�y(�4���� <br /> AGREEMENT AND SWORN STATEMENT :,r; �.rtc�M,'Si�a Exar� FFe. <br /> The work for which this permit is issued shall be perfo�med according to <br /> the a roved lans and s ecifications,a licable Cit a rovals,and the 't��� ' <br /> pp P p pp Y PP 1�7YS. � <br /> Sta[e Building Code. This permit is for only the work described and does =-=r.:r.��_:. <br /> not gran[permission for additional or related work which requires separate " ` <br /> permits. All provisions of laws and ordinances governing[his type of work ''=k �� ���'+ i.4^. <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 '`'r���irCC�; t�-''�'S �� <br /> commenced within 180 days of the date of issuance,or if construction is `��N��'�' :���' <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 any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date <br /> lssued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />