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�ITY OF OR N PERMIT <br /> O O Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 Po6ss2 <br /> Crystal Bay, Minnesota 55323 Permit Type: Demolition <br /> (952) 249-4600 Date Issued: ��i�i2oo3 <br /> SITE ADDRESS: 3268 North Shore Dr <br /> WAYZATA,MN 55391 <br /> PI D: 08-117-23-41-0009 <br /> DESCRIPTION: <br /> Proposed Use: Residenrial <br /> Permit Class: Building Census Code 645 <br /> Permit Type: Demolirion Permit Sub-type(s): Demo-Principal Structure <br /> DETAILS: <br /> Approved per resolurion#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> �'l�LL[1l1ill1UI1J%A.11(1CIIlU UCDIIJ LU DG ICIIIUVC(1 llUlil�'IUUll(1 OL UISPUSCU Ul Ull S1LC PCI I'l,H I'C�UlitllUllJ. W Ci1S <br /> m ist be abondoned. Insnection before backfilline. <br /> FEE SUMMARY: Permit Fee: $ 50.00 <br /> Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 50.50 <br /> APPLICANT: R F THOMPSON&D MILLER OWNER: R F THOMPSON&D MILLER <br /> 3268 NORTH SHORE DR 3268 NORTH SHORE DR <br /> WAYZATA MN 55391 WAYZATA MN 55391 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICf COMPLIANCE WITH ALL CITY OF ORON RDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. � C�� <br /> .�� � <br /> ��� <br /> APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE <br /> Couies: 1-File(SiQnilures ReQuired), 1-Annlicant 1-Monthlv Revorts, 1-AssessinQ, 1-Finance Page 1 <br />