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• CITY OF ORONO PERMIT NO.: 2oiaooaos <br /> ' 2750 KELLEY PARKWAY <br /> . ORONO, MN 55356- DATE ISSUED: 06/22/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1501 BAY RIDGE RD <br /> PIN : 10-117-23-34-0007 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0192 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : USER DEFINED <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : STAIRWAY TO LAKE <br /> NOTE: STAIRWAY TO LAKE <br /> ENTER VALUATION 200 STATE SURCHARGE 200 <br /> APPLICANT USER DEFINED PERMIT FEE 25.00 <br /> GERMANSON,DON&TWILA USER DEFINED PLAN REVIEW 16.25 <br /> 1501 BAY RIDGE RD <br /> WAYZATA,MN 55391- STATE SURCHARGE USER DEFINED 0.10 <br /> TOTAL 41.3 5 <br /> OWNER <br /> GERMANSON, DON&TWILA <br /> 1501 BAY RIDGE RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his permit is issued shall be perfonned according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only[he 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 I80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days a[any time afrer work has commenced. <br /> The applic C1s responsib or assuring all required inspections are <br /> requested n c�6�nformanc th the State Building Code.This permit may be <br /> revoke t a�iy time for d e cause. � <br /> i� ' / ` / <br /> / � / <br /> Ap ' ant Permitee Signature Date Issued By gnature <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED ABO . <br />