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. � <br /> CITY OF ORONO * 2 0 1 3 - 0 0 5 2 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/02/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2216 SHADYWOOD RD <br /> PIN : 17-117-23-42-0004 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT O11 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 18,000.00 <br /> NOTE: STEP AND WALKWAY REPLACEMENT <br /> NOTE: PROVIDE EROSION CONTROL (INITIAL) <br /> APPLICANT pERMIT FEE SCHEDULE 309.75 <br /> LUKE BUSKER MASONRY PLAN REVIEW 201.34 <br /> P O BOX 180 <br /> ROBERTS,MN 54023- STATE SURCHARGE(VALUATION) 9.00 <br /> (612)490-1037 TOTAL 520.09 <br /> PAID WITH CC# 1045 <br /> OWNER <br /> SHABAZ,REBECCA L <br /> 2216 SHADYWOOD RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned according to <br /> the approved plans and specifications,applicable 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 /> permiu. All provisions of laws and ordinances goveming this rype 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 any time for due cause. <br /> � �2 � 13 7 � � J <br /> Apphcant Ynitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />