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. CITY OF ORONO * Z 0 1 6 - 0 1 5 6 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/22/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 290 CRESTVIEW AVE <br /> PIN : OS-117-23-14-0018 <br /> LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REV[EW <br /> VALUATION : $ 75,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 75,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION/REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-01561 <br /> APPLICANT ADVANCED PLAN REVIEW 593.40 <br /> BETZ BUILDERS INC. TOTAL 593.40 <br /> 300 CRESTVIEW AVE. Payment(s) <br /> CHECK 7425 593.40 <br /> LONG LAKE,MN 55356 <br /> (612)221-2963 <br /> Minnesota State License#: BUIL-BC3515 <br /> OWNER <br /> HOCHSTEDLER, SCOTT <br /> 290 CRESTVIEW AVE <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 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 /> revok at any time for d�cause. _ j , <br /> �y � � �� <br /> ��-'`-' ;;�,;� �� ' /� ����? - /� ���'C E_ .1 �� _I�S . ��' � �'�'� �G� <br /> Appticant Permitee i nature Date Issued By Si ature Date <br />