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2016-00483 - advance plan review fee
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2545 North Shore Drive - 09-117-23-41-0003
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2016-00483 - advance plan review fee
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Last modified
8/22/2023 5:51:02 PM
Creation date
10/11/2017 12:18:26 PM
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x Address Old
House Number
2545
Street Name
North Shore
Street Type
Drive
Address
2545 North Shore Dr
Document Type
Permits/Inspections
PIN
0911723410003
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CITY OF ORONO * 2 0 1 6 - fD 0 4 8 3� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/05/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2545 NORTH SHORE DR <br /> PIN : 09-117-23-41-0003 <br /> LEGAL DESC : UNPLATTED 09 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 15,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$15,000 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DECK EXPANSION <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00484 <br /> APPLICANT ADVANCED PLAN REVIEW 181.20 <br /> TOTAL 181.20 <br /> MIKE NORTH CONSTRUCTION Payment(s) <br /> S00 NORTH BROWN RD CHECK 2472 181.20 <br /> LONG LAKE,MN 55356- <br /> (612)246-0027 <br /> Minnesota State License#:BUIL-20636890 <br /> OWNER <br /> BERGQUIST,CARL&ABBY <br /> 2545 NORTH SHORE DR <br /> WAYZATA,MN 55391- <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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit wi11 <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 are <br /> requested in confortnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />
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