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CITY OF ORONO * 2 0 1 4 - 0 1 1 0 2 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/13/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 200 TRUFFULA TR <br /> PIN 33-118-23-44-0039 <br /> LEGAL DESC MEADOW WOOD POND <br /> LOT 005 BLOCK 001 <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADDN/REMODEL/REPAIR <br /> ACTIVITY 434-RESIDENTIAL <br /> VALUATION $ 4,000.00 <br /> NOTE: DECK STAIRS AND HOT TUB <br /> NOTE: PRIO TO RELEASE OF ESCROW FUNDS ALL PROJECTS MUST BE COMPLETED,SHOWN,AND APPROVED ON AN AS-BUILT <br /> SURVEY. <br /> INITIAL: <br /> APPLICANT PERMIT FEE SCHEDULE 103.25 <br /> STATE SURCHARGE(VALUATION) 2.00 <br /> ADAMS,MR.&MRS. TOTAL 105.25 <br /> 200 TRUFFULA TR Payment(s) <br /> LONG LAKE,MN 55356- CHECK 6972 105.25 <br /> OWNER <br /> ADAMS,DONALD&SHEILA <br /> 200 TRUFFULA TR <br /> LONG LAKE,MN 55356- <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 i formance a State Building Code.This permit may be <br /> revoked any .ti a for us . <br /> o <br /> Ap rrrâ–º u Date Issu'4 By Signature Date <br />