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� CITY OF ORONO PERMIT NO.: 2009,�00717 <br /> 2750 KELLEY PARKWAY ' <br /> ORONO, MN 55356- DATE ISSUED: 10/ 6/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3065 JAMESTOWN RD <br /> PIN : 28-118-23-33-0008 ! <br /> LEGAL DESC : LIBERTY ACRES <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 5000.00 , <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT-PORCH <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2009-00718 ' <br /> APPLICANT ADVANCED PLAN REVIEW 76.70 <br /> LARRY VENSEL CONSTRUCTION INC. <br /> 87 MCCULLEY RD TOTAL 76.70 <br /> MAPLE PLAIN,MN 55359- PAID WITH CC# 1220 <br /> (763)300-2738 <br /> Minnesota State License#: 5836 i <br /> OWNER <br /> KOOB,JOHN&SUSANNE <br /> 3065 JAMESTOWN RD <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 goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire a�d become nuil 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 aze <br /> requested in conformance with the State Building Code.This permit may be ' <br /> revoked at any time for due cause. <br /> / / � <br /> Applicant Permitee Signature Date Issued By Si ture <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED ABO . , <br />