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� -� PERMIT <br /> CITY OF ORONO Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 P06816 <br /> Crystal Bay, Minnesota 55323 P@rCTllt Typ@: Addition/RemodeURepair <br /> (952) 249-4600 Date Issued: loi�i2oo3 <br /> SITE ADDRESS: 1280 Bracketts Pt Rd <br /> Wayzata,MI�I 55391 <br /> P I D: 11-117-23-32-0019 <br /> DESCRIPTION: UBCOccupancy R3 <br /> Construction Type VN <br /> Proposed Use: Residential <br /> Pernut Class: Building Census Code 434 <br /> Pernut Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: riwnning Eiecmcai�siaiej <br /> NOTICES/REMARKS: <br /> TJ_a_l____ T_".__�_1 <br /> FEE SUMMARY: Pernut Fee: $ 1,049.75 Valuation: $ 110,000.00 <br /> Plan Review Fee: $ 682.43 <br /> State Surcharge Fee: $ 55.50 <br /> TOTAL FEE: $ 1,787.68 <br /> APPLICANT: Tom Potter Construction Inc. OWNER: T ''"p'"°'""" J�'�"`� ��� <br /> 6531 Devonshire Dr. 1280 Bracketts Pt Rd <br /> Chanhassen,MN 55317 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 /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> � , ' " �, <br /> �'��.,.,,_ c� G' \ ��- �.�''// G �`��J�� <br /> APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE <br /> Copies: 1-File(SiQnitures Required), 1-Apnlicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 <br />