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CITY OF ORONO * 2 0 1 5 - 0 1 1 6 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/11/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 4655 TONKAVIEW LA <br /> PIN 07-117-23-32-0064 <br /> LEGAL DESC REG. LAND SURVEY NO. 1036 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE ADVANCED PLAN REVIEW <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADVANCED PLAN REVIEW <br /> VALUATION $ 13,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$13,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DECK <br /> PERMIT#THIS PREPAYMENT IS TIED TO:2015-01163 <br /> APPLICANT ADVANCED PLAN REVIEW 161.09 <br /> TOTAL 161.09 <br /> MUEFFELMEN CONSTRUCTION Payment(s) <br /> 1502 CLEMSON COURT CHECK 161.09 <br /> EAGAN,MN 55122- <br /> OWNER <br /> LICURSI,ANGELO&RACHEL <br /> 4655 TONKAVIEW LA <br /> MOUND,MN 55364- <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 />