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CITY OF ORONO * Z pJ 1 6 - PJ 1 2 6 1 * <br /> <, 2750 KELLEY PARKWAY DATE ISSUED: 10/04/2016 <br /> j ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2340 GLENDALE COVE LA <br /> PIN : 34-118-23-33-0062 <br /> LEGAL DESC : GLENDALE COVE <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 20,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 20,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: REBUILD&EXPAND EX[STING DECK <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-01260 <br /> APPLICANT ADVANCED PLAN REVIEW 231.54 <br /> TOTAL 231.54 <br /> 4 QUARTERS DESIGN& BUILD Payment(s) <br /> 16376 JAVARI COURT CRED[T CARD 7595 231.54 <br /> LAKEVILLE,MN 55044 <br /> (612)237-1881 <br /> Minnesota State License#: BUIL-20396175 <br /> OWNER <br /> VIERTHALER,ADAM& LEAH <br /> 2340 GLENDALE COVE LA <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according 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 governing this 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 180 days of the da[e of issuance,or if construction is <br /> suspended for a period of 180 days a[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 /> i� <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />