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CITY OF ORONO * 2 0 1 5 — 0 1 0 8 4 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 08/25/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 515 NORTH ARM DR <br /> PIN : T000129 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 22 BLOCK 3 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 730,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$730,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR:NEW HOME <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-01083 <br /> APPLICANT ADVANCED PLAN REVIEW 3,144.11 <br /> TOTAL 3,144.11 <br /> NORTON HOMES Payment(s) <br /> 18215 45TH AVE N, STE D CREDIT CARD 6532 3,144.11 <br /> PLYMOUTH,MN 55446- <br /> (612)386-7661 <br /> Minnesota State License#:BUIL-BC639221 <br /> OWNER <br /> Source Land Development Inc. <br /> 18215 45TH AVE N <br /> STE D <br /> PLYMOUTH,MN 55446- <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 sepazate <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 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 appiicant 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. /�e� <br /> ����. <br /> '� CL/��e c� 6u_7� Q ��U C� �� /S <br /> Applicant Permitee Si ature Date Issued By Signature Date <br />