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CITY OF ORONO * z 0 1 4 - 0 1 1 1 5 * <br /> � � 2750 KF,LLEY PARKWAY �ATE 1SSUED: 10/OU2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 805 FOREST ARMS LA <br /> PIN : 07-117-23-12-0009 <br /> LEGAL DESC : FOREST ARMS <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 7,500.00 <br /> NO"CI�?: PL1�:ASE FILI, IN TI IE FOLI,OWING: <br /> VALUATION OF P�;RM[T:$ 7500.00 <br /> TYPF:OF PERMIT"I'I�IIS PAYMEN"1'IS FOR: BOULllI?R WAI,I. <br /> PERMIT#"I'1{IS PRE-PAYMENT IS TII;D TO:2014-01 116 <br /> APPLICANT ADVANCED PLAN REVIEW 105.46 <br /> TOTAL 105.46 <br /> BUTTERFIELD LANDSCAPE COMPANY Payment(s) <br /> 3925 WATERTOWN ROAD CHECK 13929 105.46 <br /> MAPLE PLAIN, MN 55359- <br /> l,lty ��� ��_irrllii� <br /> ?%5G KF�iley P��rkwa� <br /> OWNER 0�onu MN 55356 952-249-460� <br /> FELDMANN,JOSEPH & DONELLE Receipt Nu: 3.0119ti8 Oct 1, 1014 <br /> 805 FOREST ARMS LA <br /> MOUND, MN 55364- <br /> Brian Butterfield <br /> Prevlous B81ar�c;e: .O�i <br /> AGREEMENT AND SWORN STATEMENT Perrnits <br /> l�he work for which this permit is issued shall be performed according to 2014-01 115 BU�i f"ul'�S� 105.46 <br /> the approvcd plans and specitications,applicable City approvals,and the AI'mS Lene <br /> State Building Code. This permit is for only the work described and does 1(1?-34410 <br /> not grant permission for additional or related work which requires separate P18I1 Cf'iEck/SI te Exdfn Fees <br /> permits. All provisions of laws and ordinances go��erning this type of work <br /> shall be compied with whether or not specitied herein.This permit will <br /> expire and become null and void if construction authorized is not Toiol: 105.4u <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. ChP.Ck <br /> I'he applican[is responsible for assuring all required inspections are CheCk Nu: 13929 105.40 <br /> requested in conformance with the State l3uilding Code.This permit may be �,�y0�: <br /> revoked at any time for due cause. �.��-�r, Ri itter f 1 e 1�l <br /> / / <br /> Applicant Permitee Signaturc Date „ „ <br />