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CITY OF ORONO *� _ 0 0 0 7 6 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: OU23/2015 <br /> ' ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 790 BROWN RD N <br /> PIN : 34-118-23-11-0003 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1275 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOIY TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 370,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 370,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME <br /> PERM[T#THIS PRE-PAYMENT IS TIED TO: 2015-00077 <br /> APPLICA1vT ADVANCED PLAN REVIEW 1,826.88 <br /> GONYEA HOMES TOTAL 1,826.88 <br /> Payment(s) <br /> 6102 OLSON MEMORIAL HIGHWAY CHECK 15025 1,826.88 <br /> GOLDEN VALLEY,MN 55427- <br /> (612)741-9069 <br /> Minnesota State License#: BUIL-2459 <br /> OWNER <br /> STAVIG,JOHN& PHOEBE <br /> 780 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 acwrding to <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 grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming[his 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 I80 days of the date of issuance,or if construction is <br /> suspended for a period of l80 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. /C�) <br /> � �% i""" � �,L� L \_ - } �� '��� � � � � �� � � <br /> C� / / / <br /> Ap�'icant Permite�gnature Date [ssued By Signature Date <br />