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CITY OF ORONO PERMIT NO.: 2009-00572 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 09/17/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 320 WAKEFIELD RD <br /> PIN 36-118-23-31-0014 <br /> LEGAL DESC WAKEFIELD FARMS 2ND ADDN <br /> LOT 005 BLOCK 001 <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADDN/REMODEL/REPAIR <br /> ACTIVITY 434-RESIDENTIAL <br /> VALUATION $ 10,000.00 <br /> NOTE: APPROVED BY:LYLE OMAN <br /> DECK EXTENSION <br /> APPLICANT PERMIT FEE SCHEDULE 191.75 <br /> HEATHERWOOD DESIGN&BUILD,LLC PLAN REVIEW 124.64 <br /> P.O.BOX 358 <br /> MAPLE PLAIN,MN 55359- STATE SURCHARGE(VALUATION) 5.00 <br /> (952)472-1600 TOTAL 321.39 <br /> Minnesota State License#:20636246 <br /> OWNER <br /> CIBUZAR,MARK <br /> 320 WAKEFIELD RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND 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 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after 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 /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date Iss-66'� <br /> ue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK orHER THAN DESCRIBED ABOVE. <br />