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, CITY OF ORONO * 2 0 1 4 — fd 0 5 5 6 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: Of�04/2014 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3050 SUSSEX RD <br /> PIN : 04-117-23-32-0010 <br /> LEGAL DE � : FOX BEND <br /> , : LOT 004 BLOCK 001 <br /> PERMIT T � : MINOR ALTERATIONS <br /> PROPERTY T�i'P : RESIDENTIAL <br /> CONSTRU �O YPE : SIDING <br /> ACTIVITY ; : O/S BUILDING-UNDEFINED <br /> VALUATIO � : $ 19,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 324.50 <br /> STATE SURCHARGE(VALUATION) 9.50 <br /> THOMAS N OMES TOTAL 334.00 <br /> 2073 WAY A LVD.W.#50 <br /> WAYZAT I�IN 391 Payment(s) <br /> (952)475-6 7'� <br /> CHECK 14530 334.00 <br /> Minnesota a�e L ense#:BUIL-BC 128144 <br /> OWNER <br /> FEUSS,C &LINDA <br /> 3050 SUSS �4 <br /> LONG L � 55356- <br /> AG �M T AND SWORN STATEMENT <br /> The work for ch permit is issued shall be performed according to <br /> the approved la�is specifications,applicable City approvals,and the <br /> State Buildin aode. is permit is for only the work described and does <br /> not gant pe is ion r additional or related work which requires separate <br /> permits. All ro�isi of laws and ordinances goveming this type of work <br /> shall be com ie¢wi hether or not specified herein.This permit will <br /> expire and b me n and void if construction authorized is not <br /> commenced itfiin 1 days of the date of issuance,or if conshvction is <br /> suspended fo a�eri of 180 days at any time after work has commenced. <br /> The applican �s res sible for assuring all required inspections aze <br /> requested in o�fo ce with the State Building Code.This permit may be <br /> revoked at qime due cause. <br /> � / / <br /> Applicant e ite Signature Date Issued By i ature Date <br />