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� , �j • CITY OF ORONO PERMIT NO.: 2011-01554 <br /> ' 2750 KELLEY PARKWAY <br /> ' ORONO,MN 55356- DATE ISSUED: OU1U2012 <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 : $ 300,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> A BATHTU WER IS NOT PERMITTED WITHIN THE ADDITION. CITY CONDITIONAL USE PERMIT APPROVAL <br /> REQUIRE . TIAL) <br /> WETLAN BUFFER TO BE SHOWN ON AS-BUILT SURVEY. SEE ENGINEER LETTER OU10/1 (INITIAL) <br /> APPLICANT pERMIT FEE SCHEDULE 2,256.75 <br /> MITTELSTAEDT INC STATE SURCHARGE(VALUATION) 150.00 <br /> P O BOX 454 TOTAL 2,406.75 <br /> WATERTOWN,MN 5538& <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,applicabie 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 Iaws 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 aze <br /> requested in conformance with,the State Building Code.This permit may be <br /> revoked at e r d ie a <br /> l /!� l/.Z � � <br /> pplicant ermitee Signature Date Issued By Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED ABOVE. <br />