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GITY�` OF ORONO PERMIT <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Posi i i <br /> Crystal Bay, Minnesota 55323 Permit Type: User Defined <br /> (952) 249-4600 Date Issued: s�3�2o02 <br /> SITE ADDRESS: 1875 Shadywood Rd <br /> Wayzata,MN 55391 <br /> PID: i�-i i�-23-z4-oo29 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Pernut Class: General <br /> Permit Type: User Defined Permit Sub-type(s): Dock <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: � 30.00 <br /> Valuation: $ 0.00 <br /> TOTAL FEE: $ 30.00 <br /> APPLICANT: Owner/Self OWNER: Mark&Gina Kosek <br /> � 1875 Shadywood Rd <br /> Wayzata,MN 55391 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> � <br /> � <br /> /� i <br /> �,,.4 — ,,.�Lc. ��< <�'- C. �.,-`�`� <br /> APPLICAN PERMITEE IGNATURE IS EDBYSIGNATURE <br /> Covies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 <br />