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CITY OF ORONO 11111111HHI 11011111111 II <br /> 3 - 00555 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/03/2013 <br /> • ORONO, MN 55356- <br /> 1 (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4490 WATERTOWN RD <br /> PIN : 31-118-23-21-0005 <br /> LEGAL DESC : N/A <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SHED> 120 SQ FT <br /> ACTIVITY : y49-A-L-fOT1IER - . D '••. : ---- U I •ES `Z_& , C-4 iz_z_d • 161 '6`' <br /> VALUATION : $ 7,000.00 <br /> NOTE: STORAGE SHED <br /> APPLICANT PERMIT FEE SCHEDULE 147.50 <br /> CHELBERG,GLEN&MICHAELA PLAN REVIEW 95.88 <br /> 4490 WATERTOWN RD STATE SURCHARGE(VALUATION) 3.50 <br /> MAPLE PLAIN,MN 55359 <br /> TOTAL 246.88 <br /> PAID WITH CC# 4417 <br /> OWNER <br /> CHELBERG,GLEN&MICHAELA <br /> 4490 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 /> revokedat any time,sr due cau <br /> ' !' a / !3 / % <br /> A phcant Permitee Signature C Date Issued By S. nature r Dat <br /> tAt SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED ABO . <br />