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, CITY OF ORONO *� _ 0 1 3 7 5 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 02/O1/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2770 RAINEY RD <br /> PIN : 04-117-23-43-0014 <br /> LEGAL DESC : TREES TO BE <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : �A R I`! <br /> ACTIVITY . �3�-7 � '\I c N�c'S i d c v�+ i� j <br /> VALUATTON : $ 32,390.00 <br /> NOTE: SEPARATE PERM[TS REQUIRED:ELECTRICAL(STATE) <br /> ACCESSORY STRUCTURE- 30 X 28-840 SQ.FT. <br /> APPLICANT PERMIT FEE SCHEDULE 523.99 <br /> PLAN REVIEW 109A2 <br /> WYSOCKI, RICHARD&APRIL STATE SURCHARGE(VALUATION) 1620 <br /> 2770 RAINEY RD <br /> WAYZATA,MN 55391- TOTAL 649.21 <br /> Payment(s) <br /> CHECK 12867 649.21 <br /> OWNER <br /> WYSOCKI, RICHARD&APRIL <br /> 2770 RAINEY RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AIVD 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 l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer 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 /> revokdd at any ti e for due cause. �� y� <br /> �_ l,�f� <br /> i <br /> � I I d �5-'� ���-�---�-� ��, � i <br /> ,Ap icant Permitee Signat r Da e Issued By Signature Date <br />