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CITY OF ORONO 1 I, <br /> * 20 1 4 - 00 1 98 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/12/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 20 ORONO ORCHARD RD N <br /> PIN : 35-118-23-33-0009 <br /> LEGAL DESC : ORONO OAKS <br /> LOT 013 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 500,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 500,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2014-00199 <br /> APPLICANT ADVANCED PLAN REVIEW 2,246.89 <br /> TOTAL 2,246.89 <br /> NIH HOMES Payment(s) <br /> 6840 213TH AVENUE CREDIT CARD 4970 2,246.89 <br /> ELK RIVER, MN 55330- <br /> (763)753-1750 <br /> Minnesota State License#: BUIL-BC419931 <br /> OWNER <br /> Old Orchard Farm,LLC <br /> 30 ORONO ORCHARD RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issu d shall be performed according to <br /> the approved plans and specifications, pplicable City approvals,and the <br /> State Building Code. This permit is f only the work described and does <br /> not grant permission for additional or elated work which requires separate <br /> permits. All provisions of laws and or. inances governing this type of work <br /> shall be compied with whether or not ecified herein.This permit will <br /> expire and become null and void if co struction authorized is not <br /> commenced within 180 days of the da of issuance,or if construction is <br /> suspended for a period of 180 days at y time after work has commenced. <br /> The applicant is responsible for assuri g all required inspections are <br /> requested in conformance with the Sta e Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date Issued By Signature Date <br />