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+• CITY OF ORONO * 2 B 1 5 — 0 1 5 7 5 * <br /> S 2750 KELLEY PARKWAY DATE ISSUED: 12/18/2015 <br /> ORONO,NIN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4365 NORTH SHORE DR <br /> PIN : 07-117-23-43-0031 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 006 BLOCK 018 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : STONE REPAIR <br /> ACTMTY : O/S BUILDING-UNDEFINED <br /> VALUATION : $20,000.00 <br /> NOTE: REPAIR STONE ON BOAT HOUSE <br /> APPLICANT PERNIIT FEE SCHEDULE 356.22 <br /> STONWERK STATE SURCHARGE(VALUATIOl� 10.00 <br /> 2434 COMMERCE BLVD TOTAL 366.2Z <br /> MOUND,MN 55364 Payment(s) <br /> (952)955-2714 CREDIT CARD 6522 366.22 <br /> Minnesota State License#:BUIL-BC323192 <br /> OWNER <br /> SUMI��RS,NICHOLAS&SANDRA <br /> 4365 NORTH SHORE <br /> MOIJND,MN 55364- <br /> AGREEMENT AND 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 permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 I80 days at any time after work has commenced. <br /> 1'he 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. ./1�/I <br /> V V�" <br /> �� � ( �' \ 1� <br /> ( lR.a (7� �� �.2���/ ��� r�� �v <br /> Applicant Permitee Signahue Date Issued By Signature Date <br />