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PERMIT <br /> CITY OF ORONO Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 P06326 <br /> Crystal Bay, Minnesota 55323 P2C'1111t Type: Addition/RemodeURepair <br /> (952) 249-4600 Date Issued: si23i2oo3 <br /> SITE ADDRESS: 1115 Brown Rd S <br /> Wayzata,MN 55391 <br /> P I D: 10-117-23-24-0005 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Construction Type VN <br /> Proposed Use: Residential <br /> Pernut Class: Building Census Code 434 <br /> Permit Type: Addition/RemodeURepair Permit Sub-type(s): Deck-Attached <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> T__1_ "_ i'll�ll _CC_.._]_ _"_1 "_ _ _"1_ 1_al"___ "____ _'__"____l.____"_a <br /> aivv�...�� ..iv va bi uv�i..�.v w v.uv.v�a...v..v..vaavavuv.��.v.�� <br /> FEE SUMMARY: Permit Fee: $ 38.75 Valuation: $ 1,000.00 <br /> Plan Review Fee: $ 25.18 <br /> State Surcharge Fee: $ 1.00 <br /> TOTAL FEE: $ 64.93 <br /> APPLICANT: Owner/Self OWNER: Thomas 7. Haislet <br /> M� 4692 Sycamore Tr <br /> Maple Plain,MN 55359 <br /> THE UNDERSIGNED HEREB�REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CdDE REQUIREMENTS. <br /> � � <br /> ; � � � �:. ;� _ <br /> ��-� , `; ��_ c. <br /> �� <br /> APPLICA P MI EE SIGNATURE., \� [SS ED BY SIGNATURE <br /> Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1 <br />