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. CITYOFORONO * Z0 12 - 00937 * <br /> � ' 2750 KELLEY PARKWAY DATE ISSUED: 09/18/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1380 FOX ST <br /> PIN : 02-117-23-31-0009 <br /> LEGAL DESC : MINNETONKA BLUFFS <br /> : LOT 000 BLOCK 013 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 10,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMI"I':$ 10,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DETACHED GARAGE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO: 2012-00936 <br /> APPLICANT ADVANCED PLAN REVIEW 124.64 <br /> ABD Consulting Services, LLC TOTAL 124.64 <br /> P.O. BOX 1 F MTKA <br /> MINNETONKA, MN 55345- <br /> (952)567-1365 <br /> OWNER Git of Orono <br /> ABD Consulting Services, LLC �� Ke�ey5Par�kNay �_�4�_�� <br /> P.O. BOX I F MTKA <br /> MINNETONKA, MN 55345- Receipt No: 3.�7644 5ep 18, 2d12 <br /> ABD Consulting <br /> AGREEMENT AND SWORN STATEMENT Previous balance: .OG <br /> Thc ti�ork for which this permit is issued shall be performed according to P�Y'I�1t5 <br /> thc approved plans and spccifications,applicable City approvals,and the Plan Reviea► 1�4•� <br /> State Building Code. l'his permit is for only the work described and does 1�1-3�$la <br /> not grant pennission for additional or related work which requires separate Plan Cheek/Site Exaiu Fees__`Y_____`y <br /> permits. All provisions oY laws and ordinances governing this typc of work TGtai: 1�C4.64 <br /> shall be compied wi[h whether or not specified herein.This permit will =�___�___e_= <br /> expire and become null and void if construction authorized is not Cheek <br /> commenced within 180 days of the date of issuance,or if construction is �h�Ck �: 5131 1�4.�t <br /> suspended for a period of 180 days at any time after work has commenced. Pa 8r: <br /> The applicant is responsible fi�r assuring all required inspections are AB� Consult ing <br /> requesled in conformance with the State Building Code.This pennit may be Tptdl Appi 12�; 1�4•64 <br /> revoked at any time for due cause. -------------- <br /> Chanoe Tendered: .OU <br /> / / / / <br /> Applicant Yermitce Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />