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. �� � CITY OF ORONO PERMIT NO.: 2011-00898 <br /> ' � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISS[1En: 09/06/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> rADDRESS : 1205 DICKENSON ST <br /> P[N : 02-117-23-31-0040 <br /> LEGAL DESC : M[NNETONKA BLUFFS <br /> : LOT 000 BLOCK 016 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SHED> 120 SQ FT <br /> ACTIVITY : 328-OTHER NONRESIDENTIAL BU[LDINGS <br /> VALUATION : $ 4,300.00 <br /> NOTE: * 10 BE SHOWN ON AS-BUILT SURVEY�(INITAL) <br /> APPLICANT pERMIT FEE SCHEDULE 118.00 <br /> WOTIPKA, LINDA A&LEE A STATE SURCHARGE(VALUATION) 2.15 <br /> 9908 NW 20TH ST <br /> PEMBROKE PINES,FL 33024 TOTAL 120.15 <br /> OWNER <br /> WOT[PKA, LINDA A& LEE A <br /> 9908 N W 20TH ST <br /> PEMBROKE PINES, FL 33024- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he work for which this permit is issued shall be perfonned according to <br /> the approved plans and spccitications,applicable City approvals,and the <br /> State Building Code. This permit is Yor only the work described and does <br /> not grant permission for additional or related work which reyuires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or no[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 atter 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 /> i� �� <br /> L�(I-� ,�,r��� � l (, l 20// 9� � � ` <br /> Ap�nt Permitee Sig ture Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />