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ITY F R N PERMIT <br /> C � � � � Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 P07655 <br /> Crystal.Bay, Minnesota 55323 Permit Type: Addirion/RemodeURepair <br /> (952) 249-4600 Date Issued: 8/9/2004 <br /> r <br /> SITE ADDRESS: 2190 Shadywood Rd <br /> Wayzata,MN 55391 <br /> PID: i�-ii�-23-a2-000� <br /> DESCRIPTION: UBC Occupancy R3 <br /> Construction Type VN <br /> Proposed Use: Residenrial <br /> Permit Class: Building Census Code 434 <br /> Permit Type: Addirion/Remodel/Repair Pernut Sub-type(s): Addn/RemodeURepair <br /> DETAILS: <br /> Approved per resolution#: 5145 <br /> Separate permits required: riumoing iviecnanicai rirepiace Eiecmcai�siaie� <br /> NOTICES/REMARKS: <br /> n-""-'- - 'ro_ _���.'� - '�.t_`'--- <br /> _..... - ... . •--- <br /> ..........G......w............... :j .....�..... � <br /> FEE SUMMARY: Pernrit Fee: $ 1,749.75 Valuation• $ 235,000.00 <br /> Plan Review Fee: $ 1,155.63 <br /> State Surcharge Fee: $ 120.50 <br /> TOTAL FEE: $ 3,025.88 <br /> APPLICANT' Owner/Self OWNER' Ronald&Roberta Potas ET AL CO-Trustees <br /> • MN � 2190 Shadywood Rd <br /> Wayzata MN 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 /> C'(,�/� i�.i� <br /> APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE <br /> Covies: 1-File(SiQnitures Required),1-Auvlicant,1-Monthlv Reuorts, 1-Assessin¢, 1-Finar►ce Page 1 <br />