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CITY OF ORONO * 2 0 1 5 - 0 1 4 1 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U24/2015 <br /> ' ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4375 BAYSIDE RD <br /> PIN : 06-117-23-12-0009 <br /> LEGAL DESC : UNPLATTED 06 117 23 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : ADDN/REMODEL/REPAIR <br /> ACTNITY : 434-RESIDENTIAL <br /> VALUATION : $ 20,000.00 <br /> NOTE: PATIO AND DECK <br /> NOTE: PRIOR TO RELEASE�ROW MONEY AN AS-BUILT SURVEY AND HARDCOVER CALCULAT[ONS MUST BE SUBM[TTED <br /> AND APPROVED. INITIAL: <br /> APPLICANT PERMIT FEE SCHEDULE 356.22 <br /> STATE SURCHARGE(VALUATION) 10.00 <br /> PAT FAUTH TOTAL 366.22 <br /> 4011 GLENDALE DRIVE Payment(s) <br /> EXCELSIOR, MN 55331- <br /> (612)760-0628 CREDIT CARD 5019 366.22 <br /> Minnesota State License#: BUIL-BC637448 <br /> OWNER <br /> WHITE, STEVEN&PATRICIA <br /> 4375 BAYSIDE RD <br /> MAPLE PLAIN,MN 55359- <br /> AGREEMENT AND SWORIv 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[he work described and does <br /> no[grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 l80 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 /> revok���time for due cause. <br /> 1� �Z �li��xS a �� ,��, �S <br /> Applic nt Permitee Signature Date Issue y Signature Date <br />