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CITY OF ORONO * z 0 1 4 - 0 1 PJ 9 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/24/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 135 LUCE LINE RIDGE <br /> PIN : 31-118-23-34-0007 <br /> LEGAL DESC : PAINTERS CREEK <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 13,381.50 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 13381.50 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: RETAINING WALL <br /> PERMIT#THIS PRE-PAYMENT IS TIED T02014-01092 <br /> APPLICANT ADVANCED PLAN REVIEW 162.99 <br /> METRO PRO TOTAL 162.99 <br /> 830 FOREST ARMS LANE Payment(s) <br /> ORONO,MN 55364- CREDIT CARD 5417 162.99 <br /> Minnesota State License#: BUIL-BC20551408 <br /> OWNER <br /> ANDERSON, DAVID <br /> 135 LUCE LINE RIDGE <br /> MAPLE PLAIN, MN 55359- <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 sepazate <br /> permits. All provisions of laws and ordinances goveming this rype 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 /> Applicant Permitee Signature Date Issued By Signature Date <br />