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, CITY OF ORONO * 2 0 1 z - 0 0 8 0 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/04/2012 <br /> � ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2900 DEER RUN TR <br /> PIN : 04-117-23-24-0013 �— <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN �. <br /> : LOT 008 BLOCK 004 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 120,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: ELECTRICAL(STATE) <br /> SCREEN PORCH <br /> * AS-BUILT SURVEY TO SHOW ALL IMPROVEM INITIAL) <br /> * SILT FENCING IN AREA TO BE RE-GRADED ( <br /> * ESCROW 2012-0025 WILL BE HELD tJNTIL CO LE I (INITIAL) <br /> APPLICANT <br /> MITTELSTAEDT INC PERMIT FEE SCHEDULE 1,176.75 <br /> P O BOX 454 STATE SURCHARGE(VALUATION) 60.00 <br /> WATERTOWN,MN 55388- TOTAL 1,236.75 <br /> (612)716-9595 <br /> Minnesota State License#:20012394 <br /> OWNER <br /> KACZKE,ROBERT&JILL <br /> 2900 DEER RUN TR <br /> LONG LAKE,MN 55356- <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 permi[is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 d s at any time after work has commenced. <br /> The applicant is re s' le ass � I required inspections aze <br /> requested in rth t at 't n Code.This permit may be <br /> revo <br /> / /�4 / / <br /> ic te i re Date Issued By S' ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />