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CITY OF ORONO * 2 0 1 4 - 0 0 6 3 4 * <br /> 2750 KELLEY PARKWAY �ATE �SSUE�: 06/23/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 805 FOREST ARMS LA <br /> PIN : 07-117-23-12-0009 <br /> LEGAL DESC : FOREST ARMS <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYNE : RESIDENTIAL <br /> CONSTRUCTIOIY TYPE : ADVANCED PLAN RGVIEW <br /> VALUATION : �, 45,000.00 <br /> NOTE: PI.I:ASL F11.1, IN"I�HE FOI,LOWING: <br /> VALUA'I'ION OF PERMI"I�: $ 45.000 <br /> fYPF,OF Pf?RMIT THIS PnYMENT IS FOR: RL;MODGL <br /> P1�:{ZIv11"l�#"I�I llS PRE-PnYMI?NT IS TIN.D"I�O: 2014-00635 <br /> APPLICANT ADVANCED PLAN REVIF,W 408.20 <br /> TOTAL 408.20 <br /> BETZ E3UILDERS INC. Payment(s) <br /> 300 CRESTV[EW AVE. CHECK 19264 �408.20 <br /> LONG L,AKE, MN 55356 <br /> (612)221-2963 <br /> Minnesota State License##: BUIL-E3C3515 <br /> OWNER <br /> FELDMANN,JOSEPH & DONELLE <br /> 805 FOREST ARMS LA <br /> MOUND, MN 55364- <br /> AGREEMF,NT AND SWORN STATEMENT <br /> I�hc�curk for���hich this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> Stale Ruilding Code. 'I'his permit is for unly thc�+�ork described and does <br /> not grant permission fbr additional or related�vork which requires separate <br /> permits. nll provisions of la���s and ordinances eoverning this type of work <br /> shall bc compied�vith Hfiether or not specitied herein.'lliis permit will <br /> expire and become null and void if construction authorized is not <br /> commcnced wiUiin 180 days of the datc of issuance,or if construction is <br /> suspendcd lbr a period of I 80 days at any time after�vork has commenccd. <br /> The applicant is responsibic for assurin�all required inspections are <br /> requested in confonnance�cith the State[3uildins Code.This permit may be <br /> revoked at any time for duc cause. <br /> l / <br /> npplieant Permitee Signature D'ate Issucd B��Signature Date <br />