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CITY OF ORONO * z 0 1 3 — 0 0 ra z g * <br /> 2750 KELLEY PARKWAY DATE (SSUED: O1/14/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 � <br /> i <br /> ADDRESS : 1545 MAPLE PL <br /> PIN : 08-117-23-33-0029 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 007 BLOCK 006 - = �• <br /> PERMIT TYPE : ADVANCED PLAN REVIEW '� 1�eiiey Nd�,e;�3y ^ <br /> �,�ro !� 5�3,,6 �:5;2-,c�9-46ti0 <br /> PROPERTY TYPE . RESIDENTIAL �_,��� �: �,�Q$�u� ��,; �4� �1s <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 196,781.00 ,.e �4iare _�� <br /> NOTE: PLEASE FILL IN THE FOLLOWING: z,r:ou5 53lari��: �1h3 <br /> ��"����� 1�c ,r�its <br /> VALUATION OF PERMIT: $ 192,781.00 `� �,`j C;rn(�Lu— V�^�'�'�' ;��-�}t)rj',?g 1�h5 �,3pI� 41�b5.1� <br /> �' 1Cf <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NGW STRUCTURE ` •s?alU <br /> �"� C�Eckial�B £x3� ��e5 <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-00029 ,31; �'Y`'���� ' <br /> ':t�riK <br /> L��ck I�rs: �0�. 1,���.�� <br /> pByCr�:; <br /> !9apla Pl�ce !1C : <br /> 'iat�] Ap�I,ed: lx�.a I�. # ;:' <br /> ...�.....�:,w.�,,,�.M.;� x <br /> v nrel o- <br /> Ch��a� Tenc'.��d� :=� ` <br /> APPLICANT ADVANCED PLAN REVIEW 1,065.19 <br /> DEAN JOHNSON HOMES, INC. TOTAL 1,065.19 <br /> 4700 CTY ROAD 19 <br /> MEDINA, MN 55357- <br /> (763)479-4820 <br /> Minnesota State License#: 20639439 <br /> OWNER <br /> Maple Place LLC <br /> 550 25TH AVE N <br /> ST. CLOUD, MN 56303- <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he work for which this pennit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and ihe <br /> State Building Code. l�his permit is for only the work described and does <br /> not grant permission for additional or rclated work which requires separate <br /> permits. All provisions of laws and ordinanccs governing this type of work <br /> shall bc compicd with whether or not specitied herein.This permit will <br /> cxpire 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 /> ! ��, �—" I � r��( �2�''j <br /> �...��r <br /> Applicant Permitee Signature Date � �� � <br /> Issue By ignature Date <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />