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• PERMIT <br /> �ITY OF ORONO <br /> �750 Kelley Parkway - PO Box 66 Permit Number: Po61�1 <br /> Crysial Bay, Minnesota 55323 Per-mit Type: MinorAlterations <br /> (952) 249-4600 Date Issued: 4i22i2oo3 <br /> SITE ADDRESS: 2016 Shadywood Rd <br /> Wayzata,MN 55391 <br /> PID: 17-117-23-31-0002 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Construction Type VN <br /> Proposed Use: Residential <br /> Pernut Class: Building Census Code O/S-Building <br /> Pernut Type: Minor Alterations Pernut Sub-type(s): Windows <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 97.25 Valuation: $ 4,000.00 <br /> State Surcharge Fee: $ 2.50 <br /> TOTAL FEE: $ 99.75 <br /> APPLICANT: GDS Design&Build(see notes) OWNER: Mr. &Mrs.Richard Kozicky <br /> 222 West Main St. 2016 Shadywood Rd <br /> Waconia,MN 55387 Wayzata MN 55391 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND S'I'ATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> �7 � <br /> ,� <br /> � I `i <br /> �'''u - L.-Q�✓j_ <br /> APPLICANT P I EE SIGNATURE [SSUED BY SIGNATURE <br /> Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 <br />