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CITY OF ORONO * Z 0 1 4 - 0 1 Z 6 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/3U2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 3160 SUSSEX RD <br /> PIN : 04-117-23-32-0008 <br /> LEGAL DESC : FOX BEND <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTTON TYP : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 9,000.00 <br /> NOTE: EXTEND EXIST G DECK <br /> A PLICANT PERMIT FEE SCHEDULE 177.00 <br /> JLF HOMES,LLC PLAN REVIEW 115.05 <br /> 1452 INDUSTRIAL BLV .- SUITE STATE SURCHARGE(VALUATION) 4.50 <br /> MAPLE PLAIN,MN 553 9 TOTAL 296.55 <br /> (763)479-0795 Payment(s) <br /> Minnesota State License : BUIL-20521437 CHECK 8522 296.55 <br /> WNER <br /> CHENITZ,RICHARD& ATRICIA <br /> 3160 SUSSEX RD <br /> LONG LAKE,MN 5535 <br /> AGREEMENT A D SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specific tions,applicable City approvals,and the <br /> State Building Code. This pe it is for only the work described and does <br /> not grant permission for additi al or related work which requires sepazate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether r not specified herein.This permit will <br /> expire and become null and voi if construction authorized is not <br /> commenced within 180 days of he date of issuance,or if construction is <br /> suspended for a period of 180 ys at any time after work has commenced. <br /> The applicant is responsible for assuring all re �red inspections are <br /> requested in conformance with he State Buil Code.This permit may be <br /> revoked at any time for due ca e. <br /> � /� ,t31 �/ <br /> Applicaitt�Pe 'ee ignat e Date Issue y Signature Date <br />