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CITY F R PERMIT <br /> O O ON� Permit Number: <br /> 2750 Kelley Parkuvay- PO Box 66 P05157 <br /> Crystal Bayf Minnesota 55323 Pe�mit Type: Addition/RemodeURepair <br /> (952) 249-4600 Date Issued: ��2i2oo3 <br /> SITE ADDRESS: 1875 Shadywood Rd <br /> Wayzata,MN 55391 <br /> PID: 17-117-23-24-0029 <br /> DESCRIPTION: uBc o��up��y x� <br /> Construction Type VN <br /> Proposed Use: Residential <br /> Permit Class: Building Census Code 434 <br /> Permit Type: Addition/RemodeURepair Pernut Sub-type(s): Deck-Attached <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Pernrit Fee: $ 83.25 <br /> Valuation: $ 2,800.00 <br /> Plan Review Fee: $ 54.08 <br /> State Surcharge Fee: $ 1.90 <br /> TOTAL FEE: $ 139.23 <br /> APPLICANT: Owner/Self OWNER' Mark&Gina Kosek <br /> MI`j � 1875 Shadywood Rd <br /> Wayzata,NIN 55391 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> � �. <br /> _ � ��� <br /> APPLIC T PE EE SIGNATURE ISSUED BY SIGNATURE <br /> Conies: 1-File(Si�nitures Repuired), 1-Aunlicant 1-Monthlv Revorts, 1-Assessin¢, 1-Finance Page 1 <br />