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ITY F R N PERMIT <br /> C � � � � Permit Number: <br /> 2750 Ke4l��Parkway- PO Box 66 P06383 <br /> Crystai �ay, Minnesota 55323 Permit Type: Addirion/RemodeURepair <br /> (952) 249-4600 Date Issued: 6ii�i2oo3 <br /> SITE ADDRESS: 2040 Shadywood Rd <br /> Wayzata,MIV 55391 <br /> P I D: 17-117-23-31-0013 <br /> DESCRIPTION: i1BC Occupancy R3 <br /> Proposed Use: Residenrial Construction Type VN <br /> Permit Class: Building Census Code 434 <br /> Permit Type: Addition/RemodeURepair Pernut Sub-type(s): Addn/RemodeURepair <br /> DETAILS: <br /> Approved per resolution#: 2866 <br /> Separate permits required: r,iec�icai�siaiej <br /> NOTICES/REMARKS: <br /> l�T_"T__1_ O' T7 __(�_'__"_ T___7_ <br /> FEE SUMMARY: Pernut Fee: $ 461.95 Valuation• $ 31,500.00 <br /> Plan Review Fee: $ 300.27 <br /> State Surcharge Fee: $ 16.25 <br /> TOTAL FEE: $ 778.47 <br /> APPLICANT: Flag Builders,�c. OWNER: David&7udy Zoschke <br /> 715 Florida Avenue S. 2040 Shadywood Rd <br /> Golden Valley,MN 55426 Wayzata MN 55391 <br /> TI�UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN SfRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> �C� � - ��� <br /> PLICANT PERMITEE SI ATURE I D BY SIGNATURE <br /> Conies: 1-File(SiQnitures Required),1-Atyplicant, 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1 <br />