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CITY OF ORONO 'II <br /> * <br /> 2750 KELLEY PARKWAY * 2 1 8 - 0 0 1 3 <br /> DATE ISSUED: 02/23/22 018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1300 BRACKETTS POINT RD <br /> PIN : 11-117-23-32-0017 <br /> LEGAL DESC : RGT ORONO POINT <br /> : LOT 004 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 390,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$390,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2018-00194 <br /> APPLICANT ADVANCED PLAN REVIEW 1,909.00 <br /> WELCH FORSMAN ASSOCIATION TOTAL 1,909.00 <br /> Payment(s) <br /> 6026 PILLSBURY AVE S <br /> MINNEAPOLIS,MN 55402- CREDIT CARD 1460 1,909.00 <br /> (612)827-4455 <br /> Minnesota State License#:BUIL-BC005890 <br /> OWNER <br /> FERNDALE PROPERTIES LLC <br /> 20840 PRAIRIE HILLS LANE <br /> PRIOR LAKE,MN 55372- <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 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 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 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 />