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' ` � CITY OF ORONO * 2 0 1 7 - 0 0 3 2 7 * <br /> 2750 KELLEY PARKWAY DATE [SSUED: 04/17/2017 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2800 SHADYWOOD RD <br /> PIN : 21-117-23-13-0023 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1 196 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GARAGE-DETACHED <br /> ACTIVITY : 437-NONRESIDENTIAL&NONHOUSEKEEPIN <br /> VALUATION : $ 35,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE) <br /> DETACHED GARAGE <br /> APPLICANT PERMIT FEE SCHEDULE 546.57 <br /> STATE SURCHARGE(VALUATION) 17.50 <br /> CREEK HILL CUSTOM HOMES TOTAL 564.07 <br /> 15235 65TH PL N <br /> MAPLE GROVE, MN 55311- Payment(s) <br /> CHECK 1245 564.07 <br /> (763)553-0325 <br /> Minnesota State License#: BUIL-20415174 <br /> OWNER <br /> BERGH, HANS& SHARON <br /> 2800 SHADYWOOD RD <br /> EXCELSIOR, MN 55331- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed 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 /> permits. All provisions of laws and ordinances governing this type 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for d�cause. <br /> �, .�`�; J �'�--_� �l /�/ �% 7 / l l � <br /> Applicant Pe itee Signature Date ssued By gnature Date <br />