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2011-01262 - add state surcharge
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519 Ferndale Road North - 36-118-23-14-0008
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2011-01262 - add state surcharge
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Last modified
8/22/2023 5:02:00 PM
Creation date
8/16/2016 2:45:32 PM
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x Address Old
House Number
519
Street Name
Ferndale
Street Type
Road
Street Direction
North
Address
519 Ferndale Road North
Document Type
Permits/Inspections
PIN
3611823140008
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CITY OF ORONO PERMIT NO.: 2011-01262 <br /> 2750 KELLEY PARKWAY <br /> .,., <br /> ORONO, MN 55356- DATE ISSUED: 10/18/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 519 FERNDALE RD N <br /> PIN : 36-118-23-14-0008 <br /> LEGAL DESC : UNPLATTED 36 l 18 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITIONAL STATE SURCHARGE <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : ADDITIONAL STATE SURCHARGE <br /> NOTE: "I'HIS WAS AN ADDITIONAL STATE SURCHARGE THA"I'WAS COLLECTED DUE TO THE S"CATE SHUTDOWN IN 201 l. <br /> FOR PERMIT#:2011-00626 <br /> I S SU ED:07/21/2011 <br /> APPLICANT STATE SURCHARGE FLAT-ADDIT[ONAL 4.50 <br /> PATNODE BROS TOTAL 4.50 <br /> 23200 ]09TH AVE <br /> ROGERS, MN 55374 <br /> (763)428-7393 <br /> Minnesota State License#: 95 <br /> OWNER <br /> MICHELETTI, TOM <br /> 519 FERNDALE RD N <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Quilding Code. This permit is for only the work described and does <br /> not grant permission for addi[ional or rclated work which requires separate <br /> permits. nli provisions of laws and ordinances governing 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 no[ <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 aRer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Bu�lding Code.This crmit may be <br /> revoked at any time for duc iause� � ,. 1 <br /> � f �L�.�, �� , - � C�C, <br /> � l ,�,(iC < < (��'��"1F �`,� ��C � /�/, <br /> Applicant Permitee Signature Date Issued By S g ature Date <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />
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