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CITY OF ORONO * Z 0 1 2 - 0 0 5 4 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/20/2012 <br /> ORONO,MN 55356- <br /> 952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1579 MAPLE PL <br /> PIN : 08-117-23-33-0033 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT O11 BLOCK 006 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 146,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 146000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: SINGLE FAMILY HOME <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-00547 <br /> APPLICANT ADVANCED PLAN REVIEW 866.29 <br /> DEAN JOHNSON HOMES,INC. TOTAL 866.29 <br /> 4700 CTY ROAD 19 <br /> MEDINA,MN 55357- <br /> (763)479-4820 <br /> Minnesota State License#:20639439 <br /> OWNER <br /> Maple Place LLC <br /> 550 25TH AVE N <br /> ST. CLOUD,MN 56303- <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 Buiiding Code. 1'his 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 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 1 SO 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 are <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 I By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />