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CITY OF ORONO PERMIT NO.: 2011-00218 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 04/22/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 200 WAYZATA BLVD W <br /> PIN : 36-118-23-43-0001 <br /> LEGAL DESC : UNPLATTED 36 118 23 <br /> • : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 328-OTHER NONRESIDENTIAL BUILDINGS <br /> VALUATION : $ 15,000.00 <br /> NOTE: ADD ACCESSIBLE ENTRANCE TO WOMEN'S LAVATORY AT COUNTRY CLUB <br /> APPLICANT PERMIT FEE SCHEDULE 265.50 <br /> TERRA GENERAL CONTRACTORS PLAN REVIEW 172,58 <br /> 21025 COMMERCE BLVD <br /> SUITE 1000 STATE SURCHARGE(VALUATION) 7.50 <br /> ROGERS,MN 55374- TOTAL 445.58 <br /> (763)463-0220 <br /> Minnesota State License#: 20455828 <br /> OWNER <br /> Wayzata Country Club <br /> 200 WAYZATA BLVD W <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 /> comme ced within 180 days of the date of issuance,or if construction is <br /> suspend d for a period of 180 days at any time after work has commenced. <br /> The app is espo sible for assuring all required inspections are <br /> re a in c 'form ce with the State Building ode.This per 't may be <br /> yoked t an " r d se. /?/) /- -- <br /> Applican Permitee Si nature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />