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� � � CITY OF ORONO * z 0 1 7 — ro 0 0 9 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU3U2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4705 AUGUSTA ST <br /> PIN : 06-117-23-32-0006 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 3 BLOCK 1 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 700,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERM[T:$ 700,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME <br /> PERMIT#THIS PRE-PAYMENT IS T[ED TO:2017-00090 <br /> APPLICANT ADVANCED PLAN REVIEW 3,041.95 <br /> TOTAL 3,041.95 <br /> NORTON HOMES Payment(s) <br /> 18215 45TH AVE N, STE D 3,041.95 <br /> PLYMOUTH, MN 55446- <br /> (763)559-2991 <br /> Minnesota State License#: BUIL-BC639221 <br /> OW1vER <br /> Source Land Development Inc. <br /> 18215 45TH AVE N <br /> STE D <br /> PLYMOUTH,MN 55446- <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. Ail 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 date of issuance,or if construction is <br /> suspended for a period of 180 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 i�e for ue cause. — <br /> � / �_ � � ` _ <br /> � ��� /'"/� ` }�`F�--� � 1 <br /> � � � � l <br /> Applicant Permitee Signature Date Issued By Signature Date <br />