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� CITY OF ORONO PERM�T No.: 2oii-oo3i� <br /> . 2750 KELLEY PARKWAY <br /> ORONO, MN 553�6- DATE ISSUED: OS/10/20ll <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1 I S CREEK RIDGE PASS <br /> P1N : 03-117-23-12-0013 <br /> LEGAL DESC : CREEKSIDE IN ORONO <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 644,000.00 <br /> NOTG: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT: $ 644,000.00 <br /> TYPE OF PERMIT THIS PAYMENI'IS FOR: NEW HOUSE <br /> PERM[T#THIS PRE-PAYMGN"1'IS T[GD TO:20 1 1-003 1 8 <br /> APPL[CANT <br /> CHARLES CUDD LLC ADVANCED PLAN REVIEW 2,714.89 <br /> L5050 23RD AVENUE N <br /> TOTAL 2,714.89 <br /> PLYMOUTH, MN 55447- <br /> 0 <br /> Minnesota State License#: 20635245 <br /> OWNER <br /> PFEIFER,ANDY& MARNIE <br /> 115 CREEK RIDGE PASS <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc w�ork for which this pennit is issucd shall be performcd according to <br /> the approved plans and speciYications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission tbr additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveminc this type of work <br /> shall be compied with whether or not specified herein.'Chis permit will <br /> expire and become null and void if construction authorized is not <br /> �commenced within 180 days of lhe date of issuance,or if construction is <br /> suspended for a period of l80 days at any time atter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conYormance with the State Building Coda This permit may be <br /> revoked at any time for duc cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />