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CITY OF ORONO * 2 0 1 6 - 0 0 6 3 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/06/2016 <br /> ' ORONO,MN 5535(r <br /> ' (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 525 KE$NE AVE <br /> PIN : 02-117-a3-31-0027 <br /> LEGAL DESC : MINNE�'ONKA BLUFFS <br /> : LOT 0010 BLOCK O15 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESID�NTIAL I <br /> CONSTRUCTION TYPE : ADVAI�CED PLAN REVIEW <br /> VALUATION : $ 355,0�0.00 I <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$355,000.00 ' <br /> TYPE OF PERMIT THIS PAYMENT IS FOR; NEW HOUSE <br /> PERMIT#THIS PRE-PAYMENT IS TIED Tb:2016-00640 <br /> APPLICANT ADVANCED PLAN REVIEW 1,765.67 I <br /> TOTAL 1,765.67 I <br /> ZEHNDER HOMES INC Payment(s) I <br /> 4400 BLUEBELL TRAIL S CHECK 2865 1,765.67 I <br /> MEDINA,MN 55340- I <br /> i i <br /> OWNER <br /> H&J Development Prmrshp <br /> DETTLOFF,HB&JC <br /> 1001 TWELVE OAKS CENTER DR#1Q <br /> WAYZATA,MN 55391- , I <br /> AGREEMENT AND SWORN SI ATEMENT <br /> The work for which this permit is issued shall be rformed according to <br /> the approved plans and specifications,applicable ity approvals,and the <br /> State Building Code. This permit is for only the ork described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances go�✓eming this type of work <br /> shall be compied with whether or not specified he�ein.This permit will <br /> expire and become null and void if construction a4thorized is not � <br /> commenced within 180 days of the date of issuanCe,or if construction is I <br /> suspended for a period of 180 days at any time aftler work has commenced. <br /> The applicant is responsible for assuring all requiqed inspections are <br /> requested in conformance with the State Building,Code.This permit may be I <br /> revoked at any time for due cause. <br /> / /I <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> �I <br />