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- CITY OF ORONO PERMIT NO.: 2009-00728 <br /> �, ` 2750 KELLEY PARKWAY <br /> ► <br /> ORONO, MN 55356- DATE �ssuEn: 10/20/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1785 CONCORDIA ST <br /> PIN : 17-117-23-22-0016 <br /> LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK <br /> : LOT 000 BLOCK 000 <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:$1,100,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW S'IRUCTURE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO: bZ�q• D b��p <br /> APPLICANT ADVANCED PLAN REVIEW 4,131.89 <br /> STONEWOOD, LLC TOTAL 4,131.89 <br /> 7407 WAYZATA BLVD <br /> MINNEAPOLIS, MN 55426- <br /> (952)697-5590 <br /> Minnesota State License#:20594315 , <br /> �� _�_ _ . <br /> OWNER a a��-:; ? ;•:;;�.�:-�-: <br /> DULIN, KEVIN &BARBARA <br /> 1785 CONCORDIA ST <br /> WAYZATA, MN 55391- <br /> r:. <br /> AGREEMENT AND SWORN STATEMENT `-�+'�'��`����. zxa�? �'� <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and [he <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 1;:�,�,.. <br /> expire and become null and void if construction authorized is not ;tr.,. <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 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 Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />