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CITY OF ORONO * Z 0 1 6 - PJ 1 3 0 4 * <br /> � � � 2750 KELLEY PARKWAY DATE iSSUED: 10/13/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1830 SHORELINE DR <br /> PI lV : 10-ll 7-23-42-0002 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 356 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 4,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 4,000 <br /> TYPE OF P�RMIT THIS PAYMENT IS FOR: ENTRANCE MONUMENTS <br /> PERMIT#THIS PRE-PAYMENT IS TIED T0:2016-01303 <br /> APPLICANT ADVANCED PLAN REVIEW 70.45 <br /> TOTAL 70.45 <br /> STONEWOOD, LLC Payment(s) <br /> 153 E LAKE STREET CREDIT CARD 5568 70.45 <br /> WAYZATA,MN 55391- <br /> (612)462-4000 <br /> Minnesota State License#: BUIL-BC594315 <br /> OWNER <br /> TUFAA&NEDIYO SADO,TASHITTA <br /> 1224 CEDAR POINTE DR N <br /> MINNETONKA, MN 55305- <br /> AGREEMEivT 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 [he <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. AII provisions of Iaws 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 l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conforman the State Building Code.This permit may be <br /> revoked at any ti or d cause. <br /> / / <br /> p ic er 'ee ' ture Date Issued By Signature Date <br />