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• CITY OF ORONO * 2 PJ 1 6 - PJ 1 4 9 7 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 12/22/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4565 BAYSIDE RD <br /> PIN : 06-117-23-21-0010 <br /> LEGAL DESC : BAYSIDE BERRY FARM <br /> : LOT 2 BLOCK 1 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : STRUCTURE PERMIT <br /> NOTE: 8 X 20 PREFAB SHED <br /> APPLICANT STRUCTURE PERMIT 50.00 <br /> PIVEC CONSTRUCTION TOTAL 50.00 <br /> 510 BRIDGE AVE E Payment(s) <br /> CHECK 3445 50.00 <br /> DELANO, MN 55328- <br /> (763)2346948 <br /> OWNER <br /> DOUBECK,T[M&MARY <br /> 4565 BAYSIDE RD <br /> MAPLE PLA[N, MN 55359- <br /> AGREEMENT AI�ID SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and speci6cations,applicable Ciry approvals,and the <br /> State E3uilding 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 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 not <br /> commenced within I80 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 /> r F � I i <br /> i <br /> -- l�-�d-�� l ti -����,�� 1 ��� ,_� f`>� � �% � , � / � <br /> Ap icant Permitee Signature Date Iss�Signature Date <br />