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CITY OF ORONO * Z 0 1 6 - 0 0 5 9 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/3U2016 <br /> . ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2995 DEER RUN TR <br /> PIN : 04-117-23-23-0030 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : STUCCO <br /> ACTIV[TY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 40,000.00 <br /> NOTE: STUCCO,SIDING&WINDOWS <br /> APPLICANT PERMIT FEE SCHEDULE 603.02 <br /> STATE SURCHARGE(VALUATION) 20.00 <br /> BERG EXTERIORS PLAN REVIEW 391.96 <br /> 5145 INDUSTRIAL ST <br /> MAPLE PLAIN, MN 55359- TOTAL 1,014.98 <br /> (763)286-3872 Payment(s) <br /> Minnesota State License#: BUIL-BC324217 CHECK 15984 1,014.98 <br /> OWNER <br /> LEISCHOW, DEAN&KELLY <br /> 2995 DEER RUN TR <br /> LONG LAKE, MN 55356- <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 perniission 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 specified herein."I'his 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 required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / ___ _ -- <br /> ,? / � ——-- —� <br /> �,, _ -`" � — —._ , <br /> -,_ �� � :�-�l �� a ----r-.� � ��� � � � � I.� <br /> Applicant Per gnatare at Issued B ignature Date <br /> ! ,f� , <br />