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, , <br /> • � CITY OF ORONO * z 0 1 3 - 0 1 0 8 0 * <br /> 2750 KELLEY PARKWAY DATE I SUED: 10/15/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 568 KEENE AVE <br /> PIN : 02-117-23-31-0042 I <br /> LEGAL DESC : MINNETONKA BLUFFS �I <br /> : LOT 000 BLOCK 016 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION YPE : ADVANCED PLAN REVIEW <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 50,000.00 <br /> NOTE: PLEASE FIL IN THE FOLLOWING: <br /> VALUATION OF PE IT:$50,000.00 <br /> TYPE OF PERMIT TH S PAYMENT IS FOR: BUILDING PERMIT <br /> PERMIT#THIS PRE- AYMENT IS TIED TO:2013-01079 <br /> i <br /> i <br /> APPLICANT ADVANCED PLAN REVIEW 443.14 <br /> LINDUS CONSTRU TION INC TOTAL 443.14 <br /> 879 HWY 63 <br /> BALDWIN,WI 540q2- PAID WITH CC# 6948 <br /> (715)684-4647 I <br /> Minnesota State Lice se#: BC007644 <br /> OWNER <br /> DAVIDSON,DONA D&JOANNE <br /> 568 KEENE AVE. <br /> WAYZATA,MN 55 91- <br /> i <br /> I <br /> AGREEMEN AND SWORN STATEMENT II <br /> The work for which this ermit is issued shall be performed according to �, <br /> the approved plans and s ecifications,applicable City approvals,and the <br /> State Building Code. Thi permit is for only the work described and does <br /> not grant permission for dditional or related work which requires separate <br /> pertnits. All provisions o laws and ordinances goveming this type of work <br /> shall be compied with w ther or not specified herein.This permit will <br /> expire and become null d void if construction authorized is not <br /> commenced within 180 d ys 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 responsi le for assuring all required inspections aze <br /> requested in conformanc with the State Building Code.This permit may be <br /> revoked at any time for d e cause. <br /> / / / / <br /> Applicant Permitee Si nature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO E. <br />