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PERMIT <br /> CIT� OF ORONO <br /> 2750 K�Iley Parkway - PO Box 66 Permit Number: Po�s29 <br /> Crystal Bay, Minnesota 55323 Permit Type: aaa�c�o�RemoaevRepa�T <br /> (952) 249-4600 Date Issued: 6i�i2oo4 <br /> SITE ADDRESS: 3895 Shoreline Dr <br /> WAYZATA,MN 55391 <br /> PID: 2o-i i�-23-22-0004 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Pernut Class: Building Census Code 434 <br /> Pernut Type: Addition/Remodel/Repair Pernut Sub-type(s): Addn/Remodel/Repair <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: <br /> NOTICES/REMARKS: <br /> n"r o_r�__._____ �T�___�____ m._:_i_ w,r_____i'___rr__�_.. r_'__'t`_'_' � <br /> _..... ..::.�::::::::.:� .... ......_ .. ... _ ' <br /> .�..... �........ � .t...............1...i.:...... :� .......�....... � <br /> FEE SUMMARY: Pernut Fee: $ 251.25 Valuation• $ 15,000.00 <br /> State Surcharge Fee: $ 8.00 <br /> TOTAL FEE: $ 259.25 <br /> APPLICANT: Giersten Company OWNER: R D 7ENSEN ETAL <br /> 2010 E. Center Circle#400 3895 SHORELINE DR <br /> Plymouth,MN 55441 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 /> MINNESOTABUILD GCO QUIREMENTS. <br /> :� <br /> �� /' � <br /> ,� � ` ,; l � {'.� <br /> A PLICANT PERMITEE SIGNATURF. I UED BY SIGNATURE <br /> Copies: 1-File(SiQnitures Required), 1-Apolicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 <br />