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� <br /> CITY OF ORONO PERMIT NO.: 2010-00370 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 05/20/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2967 CASCO POINT RD <br /> PIN : 20-117-23-31-0064 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1470 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 12,000.00 <br /> NOTE: RGPLACE DOOR/WINDOW UNIT AND SIDING ON 3RD FLOOR GABLE END OF EXISTING fIOUSE. <br /> APPLICANT PERM[T FEE SCHEDULE 221.25 <br /> ROZEBOOM, MR. & MRS. STATE SURCHARGE(VALUATION) 6.00 <br /> 2967 CASCO PT RD TOTAL 227.25 <br /> WAYZATA, MN 55391- <br /> PAID WITH CC# 4649 <br /> OWNER <br /> ROZEBOOM, MR. & MRS. <br /> 2967 CASCO PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issucd shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State[3uilding Code. This permit is for only the work described and does <br /> no[grant permission for additional or related work which requires separate <br /> permits. All provisions oY laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permi[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 responsibl Yor assuring all required inspections are <br /> requested in con rmance ith the State Building Code.This permit may be <br /> revoked a a�• e or d cause. <br /> c�'l 2� l � �i a�� ,/(� <br /> Applicant Permitee ignature Date Iss y Signature Date <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />