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CITY OF ORONO * 2 0 1 2 - 0 1 2 5 4 * <br /> , � 2750 KELLEY PARKWAY DATE ISSUED: 12/19/2012 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2640 NORTH SHORE DR <br /> PIN : 09-117-23-13-0009 <br /> LEGAL DESC : COLWELL ADDN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 50,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 50,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-01255 <br /> APPLICANT ADVANCED PLAN REVIEW 443.14 <br /> HODDER,KENT H&NDITH B TOTAL 443.14 <br /> 2640 NORTH SHORE DR <br /> MN 55391- <br /> OWNER <br /> HODDER,KENT H&JUDITH B <br /> 2640 NORTH SHORE DR <br /> ,MN 55391- <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 separate <br /> permits. All 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 construc[ion 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at ani�(j e for due cause. <br /> � � <br /> � I � / / <br /> A plicant Permi ee Signatur Dat Issued By ' ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />