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� - � PERMIT <br /> CITY OF ORONO <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: Po2ai2 <br /> Crystal Bay, Minnesota 55323 Permit Type: Demoiition <br /> (612) 249-4600 Date Issued: si2ioo <br /> SITE ADDRESS: 2016 Shadywood Rd <br /> WAYZATA,MN 55391 <br /> P I D: 17-117-23-31-0002 <br /> DESCRIPTION: <br /> Proposed Use: <br /> Permit Class: Building <br /> Permit Type: Demolition Permit Sub-type(s): Demo-Accessory Structure <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> ��:^.'.^.w;�.^.,^.��:�:��^.:.^.���.^.�:O��;�.^.:^Y�.����, .. .1 R.�;�.,�.�o.i.,F�FF�.��..or DvA r l�t;..,,� \l/�ll� <br /> .b,..::.^....�., t....,....... i..., ..�.U^::.....,.....,. <br /> m ist be abondoned. Inspection before backfilling. <br /> FEE SUMMARY: Permit Fee: $ 30.00 Valuation• $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 30.50 <br /> APPLICANT: �CHARD KOZICKY OWNER: R W&C M KOZICKY <br /> 2016 SHADYWOOD RD 2016 SHADYWOOD RD <br /> WAYZATA,MN 55391 WAYZATA MN 55391 <br /> 'TI�UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND <br /> STATE OF MINNESOTA BUII.DING CODE REQUIREMENTS. <br /> � <br /> UEDBYSIGNATURE ° �� <br /> Copies:City,Applicant,Assessor,Finance Page 1 <br />