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CITY OF ORONO * 2 0 1 7 - 0 0 3 1� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/03/2017 <br /> ORONO,MN 55356- <br /> (952 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4015 DAHL RD <br /> PIN : 07-117-23-14-0001 <br /> LEGAL DESC : UNPLATTED 07 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 12,675.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWMG: <br /> VALUATION OF PERMIT:$ 12,675.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DECK <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-00311 <br /> APPLICANT ADVANCED PLAN REVIEW 161.06 <br /> TOTAL 161.06 <br /> DAVE PINK Payment(s) <br /> 5725 COLTNTY RD 33 CREDIT CARD 6301 161.06 <br /> NEW GERMANY,MN 55367- <br /> OWNER <br /> HAAPALA,ROBERT&BONITA <br /> 4015 DAHL RD <br /> MOLTND,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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. A(I 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 /> / / <br /> Appiicant Permitee Signature Date Issued By Sigr►ature Date <br />