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CITY OF ORONO * z 0 1 5 - 0 0 7 9 7 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 06/19/2015 <br /> • ' � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : I 125 HUNTER DR <br /> PIN : 25-118-23-31-0004 <br /> LEGAL DESC : TEN OAKS <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 200,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWINC,: <br /> VALUATION OF PERMIT:$ 200,000.00 <br /> TYPE OF PERMIT THIS PAYMENT[S FOR: REMODEL,/RF,BUILD OF BARN IN-KIND <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-00796 <br /> APPLICANT ADVANCED PLAN REV[EW 1,130.73 <br /> TOTAL 1,130.73 <br /> PERRY, CHRISTOPHER Payment(s) <br /> 1125 HUNTER DR CHECK 7923 1,130.73 <br /> WAYZATA, MN 55391- <br /> OWNER <br /> PERRY,CHRISTOPHER <br /> 1125 HUNTER DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> "Che 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 /> permi[s. AI)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 afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conforrnance with the State Building Code.This pemiit may be <br /> revoked at an time for due cause. <br /> 1 � <br /> -- � �-/S- ��� �� �� 1 1 � I � , `�� /� <br /> _ , <br /> , <br /> % �.� � - S G ��7 l <br /> Applicant Permitee Signature Date Issued By Signature Date <br />