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CITY OF ORONO * 2 0 1 4 — 0 PJ 5 5 PJ <br /> •••. 2750 KELLEY PARKWAY DATE ISSUED: 06/03/2014 <br /> a ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS NORTHERN AVE <br /> PIN 17-117-23-34-0002 <br /> LEGAL DESC REG.LAND SURVEY NO.0763 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADVANCED PLAN REVIEW <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 325,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 325,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ADVANCED PLAN REVIEW NEW STRUCTURE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO: 2014-00551 <br /> APPLICANT ADVANCED PLAN REVIEW 1,564.39 <br /> ATLAS HOMES INC Payment(s) TOTAL 1,564.39 <br /> 14450 117TH AVE N CHECK 15299 1,564.39 <br /> DAYTON,MN 55369- <br /> (763)691-9044 <br /> Minnesota State License#:BUIL-BC20269686 <br /> OWNER t,.� + J <br /> 4751 i<pl ley <br /> REAL ASSETS,LANDSOURCE `Ir`':") tl 55,3at <br /> 550 25TH AVE N r: i e3p` N t;.! ).i t:; tit°, <br /> ST CLOUD,MN 56301- s .vvt l <br /> {IEism'i %.11 <br /> PY?V;ous itil3Ylep, <br /> AGREEMENT AND SWORN STATEMENT I tr aas <br /> L t�,_riy5�rra 37)0 jlkr'G`iern <br /> The work for which this permit is issued shall be performed according to r. <br /> the approved plans and specifications,applicable City approvals,and the lU -sqj; <br /> State Building Code. This permit is for only the work described and does News <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 ,nU is 1,56 <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 �y efii 4 xf <br /> commenced within 180 days of the date of issuance,or if construction is fAec'k too; 15c+5 ����4•�' <br /> suspended for a period of 180 days at any time after work has commenced. Paw, <br /> �ti.as nows -• Real ASSUt L-LL' <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 /> Applicant Permitee Signature Date Issued By Signature Date <br />