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� CITY OF ORONO PERMIT NO.: 2010-00095 <br /> : �_. 2750 KELLEY PARKWAY <br /> �---=-- ORONO, MN 55356- �ATE IssuEv: 02/23/2010 <br /> �` 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3115 NORTH SHORE DR <br /> PIN : 09-117-23-32-0013 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0269 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERAT[ONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : STUCCO <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 60,000.00 <br /> NOTE: REMOVE STUCCO AND RESET GXISTING WINDOWS <br /> APPLICANT PERMIT FEE SCHEDULE 756.75 <br /> SUNDANCE EXTER[ORS STATE SURCHARGE(VALUATION) 30.00 <br /> 105 W.23RD ST. <br /> HASTINGS, MN 55033 TOTAL 786J5 <br /> (612)419-1085 <br /> Minnesota State License#: 20383035 <br /> OWNER <br /> VOGT, ELIZABETH <br /> 3 I I S NORTH SHORE DR <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 speciYications,applicablc City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which reyuires 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 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time atter work has commenced. <br /> The applicant is responsible for assuring all required inspcctions are <br /> requested in conformance with the State Building Code.This permit may bc <br /> revoked at any time for due cause. <br /> �_/i�'c�� �' / l �' l l <br /> Applicant Permitee Signature Date Issucd t3y S,' nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO E <br />