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CITY OF ORONO * 2 0 1 z - 0 0 6 z 7 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 07/09/2012 <br /> � � ' ' ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDItESS : 3050 SUSSEX RD <br /> PIN 'f : 04-117-23-32-0010 <br /> LEGAL DE h : FOX BEND <br /> : LOT 004 BLOCK 001 <br /> PERMIT T � : MINOR ALTERATIONS <br /> PROPERTY ThtP : RESIDENTIAL <br /> CONSTRU #O YPE : STUCCO <br /> VALUATIO I : $ 12,000.00 <br /> NOTE: REM �E S CCO-REPAIR DAMAGE <br /> REPAIR WIN C�W � <br /> I APPLICANT pERMIT FEE SCHEDULE 221.25 <br /> EQUICA , C STATE SURCHARGE(VALUATION) 6.00 <br /> 4690 LA .NE <br /> ST.MICH �,, 55376- TOTAL 227.25 <br /> (612)702-8 3I0 <br /> Minnesota ta�te ' ense#:20636542 <br /> OWNER <br /> FEUSS,C &LINDA <br /> 3050 SUSS � <br /> LONG LA , 55356- <br /> AG NT AND SWORN STATEMENT <br /> The work fo w ich is permit is issued shall be performed according to <br /> the approve pl s specifications,applicable City approvals,and the <br /> State Buildi g ode his permit is for only the work described and dces <br /> not grant pe i sio r additional or related work which requires separate <br /> permits. All r visi s of laws and ordinances goveming this type of work <br /> shall be co i d wi whether or not specified herein.This permit will <br /> expire and b c�me 11 and void if construction authorized is not <br /> commenced i�hin 0 days o date of issuance,or if construction is <br /> suspended f r�peri of day at any time after work has commenced. <br /> The applic t� res n ' le for suring all required inspections are <br /> requested in c fo wi e State Building Code.This permit may be <br /> revoked at y tim ue ause. <br /> �._.. <br /> c'> <br /> �� � �' / � <br /> Applic t e it Signature Date Issued By S' n ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . <br />