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CITY OF ORONO �i <br /> 111 �,1 I 1 I I'II' <br /> 2750 KELLEY PARKWAY * 20 1 7 - 0 1 5 1 2 <br /> DATE ISSUED: 11115/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1300 BRACKETTS POINT RD <br /> PIN : 11-117-23-32-0017 <br /> LEGAL DESC : RGT ORONO POINT <br /> : LOT 004 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 165,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 165,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DETACHED GARAGE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-01513 <br /> APPLICANT ADVANCED PLAN REVIEW 987.62 <br /> TOTAL 987.62 <br /> WELCH FORSMAN ASSOCIATION Payment(s) <br /> 6026 PILLSBURY AVE S CREDIT CARD 1460 987.62 <br /> MINNEAPOLIS,MN 55402- <br /> (612)827-4455 <br /> Minnesota State License#: BUIL-BC005890 <br /> OWNER <br /> Ferndale Properties LLC <br /> C/O CHRIS LAKE LAW FIRM <br /> 20840 PRAIRIE HILLS LA <br /> PRIOR LAKE,MN 55372- <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 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 /> Applicant Permitee Signature Date Issued By Signature Date <br />