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� � , CITY OF ORONO * z 0 1 5 - 0 1 5 4 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/10/2015 <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 : LINPLATTED 06 117 23 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUAT[ON : $ 25,000.00 <br /> NOTE: MASONRY/STONE WORK <br /> APPLICANT PERMIT FEE SCHEDULE 433.67 <br /> STATE SURCHARGE(VALUATION) 12.50 <br /> PETERSON MASONRY DESIGN TOTAL 446.17 <br /> 3565 WATERTOWN ROAD <br /> LONG LAKE,MN 55356- Payment(s) <br /> (612)236-5737 CHECK 1278 446.17 <br /> OWNER <br /> WHITE, STEVEN& PATRICIA <br /> 4375 BAYSIDE RD <br /> MAPLE PLAIN,MN 55359- <br /> AGREEMENT A1vD 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 goveming this type of work <br /> shall be compied with whether or no[specified hereia This permit will <br /> expire and become null and void if con�truction authorized is not <br /> commenced within 180 days of the d e of issuance,or if construction is <br /> suspended for a period of l80 day t any time after work has commenced. <br /> The applicant is responsible fo uring all required inspections are <br /> requested in conformance w' e State Building Code.This permit may be <br /> revoked at any time for cause. � <br /> �+ � ° l � ` � � l i �6i <br /> A itee Signature Date Issued By S' ature Date <br />