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CITY OF ORONO * 2 0 1 6 - 0 1 1 3 1 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 09/16/2016 <br /> '' ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 140 LEAF ST <br /> PIN : 04-117-23-22-0006 <br /> LEGAL DESC : REG.LAND SURVEY NO.0744 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 13,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 13,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: REBUILDING ATTACHED DECK&EXPANSION <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-01130 <br /> APPLICANT ADVANCED PLAN REVIEW i61.06 <br /> TOTAL 161.06 <br /> KATCHMARK,GREGG&REBECCA Payment(s) <br /> 140 LEAF ST CHECK 10545 161.06 <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> KATCHMARK,GREGG&REBECCA <br /> 140 LEAF ST <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 /> permiu. All provisions of Iaws and ordinances goveming 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � <br /> ��� (�.cJZ ��`{-�C1 �/ /(o/ /�., <br /> � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />