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► • <br /> ' CITY OF ORONO IMAIIIIIIIITI <br /> * 20 1 3 - 0 1 0 4 3 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/24/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4045 WATERTOWN RD <br /> PIN : 31-118-23-41-0003 <br /> LEGAL DESC : UNPLATTED 31 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 35,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE) <br /> * PROPERTY OWNER AGREES NO THIRD DRIVEWAY WILL BE CREATED TO ACCESS WATERTOWN ROAD <br /> FROM THE NEW DETACHED GARAGE. INITIAL: ..3- ,� <br /> APPLICANT PERMIT FEE SCHEDULE 520.50 <br /> KELLENBERGER, DANA&GREGORY PLAN REVIEW 338.33 <br /> 4045 WATERTOWN RD <br /> MAPLE PLAIN,MN 55359 STATE SURCHARGE(VALUATION) 17.50 <br /> TOTAL 876.33 <br /> OWNER <br /> KELLENBERGER,DANA&GREGORY <br /> 4045 WATERTOWN RD <br /> MAPLE PLAIN,MN 55359 <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 /> �ev'ok at any time for due <br /> cause. <br /> )------ \.(A <br /> /},\ <br /> /eT ,?it1.(A iG 1 �Le Wat.,C Oci d 7 0"/3 4-kt-et-ic__ /Q I ,3 <br /> (J Pi.' ant Permitee Signature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />