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CITY OF ORONO * 2 0 1 4 - 0 0 6 2 1 * <br /> > 2750 KELLEY PARKWAY DATE ISSUED: 07/14/2014 <br /> • ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 475 OXFORD RD <br /> PIN : OS-117-23-41-0010 <br /> LEGAL DESC : STIELOWS ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTNITY : 434-RESIDENTIAL <br /> VALUATION : $ 35,500.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PMECHANICAL, ELECTRICAL(STATE) <br /> *THE POOL CANNOT BE CONSTRUCTED CLOSER TO THE LAKE THAN SHOWN ON THE SURVEY DATED 6/30/14 NITIAL <br /> *PRIOR TO RELEASE OF ESCROW FUND AS ASBBUILT SURVEY AND HARDCOVER CALCULATIONS MUST BE SUBMITTED AND <br /> APPROVED. <br /> APPLICANT PERMIT FEE SCHEDULE 531.25 <br /> STATE SURCHARGE(VALUATION) 17.75 <br /> PETERSON POOLS& SPAS INC. TOTAL 549.00 <br /> 13110 EXCELSIOR BLVD Payment(s) <br /> MINNETONKA,MN 55343- CHECK 13754 549.00 <br /> (952)933-3010 <br /> OWNER <br /> CKO VACATION PROPERTIES <br /> 575 OXFORD ROAD <br /> MEDINA,MN 55340- <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 sepazate <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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for du cause. <br /> r/ � / / <br /> Appl�cant Pe tee Sign ure Date Issued By Si n ture � Date <br /> �-, <br />