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CITY` O� OR N PERMIT <br /> � � Permit Number: <br /> 2750 Kellsy Parkway- PO Box 66 P04906 <br /> Crystal Bay, Minnesota 55323 Permit Type: aaairio�emoaevxepau <br /> (952) 249-4600 Date Issued: 2i2si2oo2 <br /> SITE ADDRESS: 2224 Shadywood Rd <br /> Wayzata,MN 55391 <br /> PID: 17-117-23-42-0003 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Construction Type VN <br /> Proposed Use: Residential <br /> Permit Class: Building Census Code 434 <br /> Permit Type: Addirion/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair <br /> DETAILS: <br /> Approved per resolurion#: <br /> Separate pernuts required: Eiecuicai(sratej <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Pernut Fee: $ 839.75 Valuation• $ 78,000.00 <br /> Plan Review Fee: $ 545.93 <br /> State Surcharge Fee: $ 39.00 <br /> TOTAL FEE: $ 1,424.68 <br /> APPLICANT: Katherine Taylor Home OWNER: Mark&Susanne Griffin <br /> 1665 County Road 24 2224 Shadywood Rd <br /> Medina,MN 55356 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 /> ;'l <br /> �� L_�.>:�'-%: <br /> ( � , /�....�L..�.��...._� �..�'�1�, <br /> ` ,. k.. C''t.-. <br /> APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATCTRE <br /> v <br /> Copies: 1-File(SiQnitures Required), 1-Anvlicant, 1-Monthlv Revorts, 1-Assessine, 1-Finance Page 1 <br />