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CITY F ORONO <br /> 2750 KELT <br /> Y PARKWAY * 2 1 4 - 0 1 2 5 9 <br /> DAT8 E ISSUED: 11/05/2014 <br /> ORONMN 55356- <br /> 952)249-4600AX: 952 249-4616 <br /> ADDRESS : 315 OLD CRYSTAL BAY RD N <br /> PIN : 33-118-23-31-0004 <br /> LEGAL DESC : UNPLATTED 33 118 23 1 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/ROAIR <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADDN/REMODEL/REPAIR <br /> ACTIVITY 434-RESIDENTIAL <br /> VALUATION $ 8,500.00 <br /> NOTE: DECK REAPLCEMENT <br /> APPLICANT PERMIT FEE SCHEDULE 177.00 <br /> DRS HOME REPAIR&REMODL TATE SURCHARGE(VALUATION) 4.25 <br /> 6299 BIRCH LANE TOTAL 181.25 <br /> MOUND,MN 55364 ayment(s) <br /> (612)865-5398 CHECK 23265 181.25 <br /> OWNER <br /> ENGLEMAN,MR.&MRS.ALAN <br /> 315 OLD CRYSTAL BAY RD N <br /> LONG LAKE, MN 55356- <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 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 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 time for due cause. ; <br /> App scant Permitee Signature Date I sue y Signature Date <br />