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CITY OF ORONO PERMIT NO.: 2010-01055 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE [SSUED: 10/29/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2565 COUNTRYSIDE DR <br /> PIN : 04-117-23-11-0011 <br /> LEGAL DESC : COUNTRYSIDE MANOR 2ND ADDN <br /> : LOT 001 BLOCK 003 <br /> PERMIT TYPE : ADD[TION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DECK ATTACHED <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 8,000.00 <br /> NO"Il�;: REY�1[R EXISTING DECK <br /> APPLICANT PERMIT FEE SCHEDULE 162.25 <br /> D. T. MEISINGER DEV. INC PLAN REVIEW 105.46 <br /> 1242 OTTAWA AVE <br /> WEST ST PAUL, MN 551 18- STATE SURCHARGE(VALUATION) 5.00 <br /> (612)366-1361 TOTAL 272.71 <br /> Minnesota State License#: 20634449 <br /> OWIVER <br /> MICH, MR. & MRS. <br /> 2565 COUNTRYSIDE DR <br /> LONG LAKE, MN 55356 <br /> ACREEMENT AND SWORN STATEMENT <br /> I�he���ork f��r�vhich this permit is issucd shall be performed according to <br /> thc approvcd plans and specifications,applicable City approvals,and the <br /> State Building Code. 'fhis permit is for only the work described and does <br /> not grant pennission 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 specitied 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 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all requircd inspections are <br /> requ d in conforman with the State Building Code.This permit may be <br /> re oked t any time f duc cause. <br /> � lc1 Y'' / l�G /�l l /[/ <br /> ApplicantPen tee Si ature Date I ,u d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />