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CITY OF ORONO * z 0 1 6 - 0 1 1 9 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/26/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1285 FRENCH CREEK DR <br /> PIIV : 10-117-23-32-0007 <br /> LEGAL DESC : FRENCH CREEK <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 9,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 9000.00 <br /> TYPE OF PERMIT THIS PAYMGNT IS FOR: REPLACE TIMBER WALLS <br /> PERM17'#THIS PRE-PAYMENT IS TIED TO:2016-01192 <br /> APPLICANT ADVANCED PLAN REVIEW 120.79 <br /> TOTAL 120.79 <br /> SOUTHVIEW DESIGN Payment(s) <br /> 2383 PILOT KNOB RD CHECK 35015 120.79 <br /> MENDOTA HEIGHTS, MN 55120- <br /> (651)203-3032 <br /> OWNER <br /> O'CONNELL& LYNNE RASUMSSEN, BRIAN <br /> 1285 FRENCH CREEK DR <br /> WAYZATA, MN 55391- <br /> ACREEMENT AND SWORN STATEMENT <br /> I�he work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant pennission for additional or related work which requires separate <br /> permits. AII provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 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. � <br /> �/ � � � i /-� <br /> Applicant Permitee Signature Date [ssued By ' ature Date <br />