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CITY OF ORONO * z � 1 z — 0 1 z 0 3 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: OU18/2013 <br /> � ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1205 DICKENSON ST <br /> PIN : 02-117-23-31-0040 <br /> LEGAL DESC : MINNETONKA BLUFFS <br /> : LOT 000 BLOCK 016 <br /> PERMIT TYPE : ADDITION /REMODEL/ REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DECK ATTACHED <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 8,400.00 <br /> NOTE: ADV PLAN REVIEW PAID 11/28/12$115.05 2012-01202 <br /> * AS-BUILT SURVEY REQUIRED PRIOR TO RGLEASG OF ESCRO . (INITIAL) <br /> � <br /> '� <br /> APPLICANT PERM[T FEE SCHEDULE 177.00 <br /> VAN HEEL CONSTRUCTION, INC. STATE SURCHARGE(VALUATION) 4.20 <br /> 2375 ORKLA DR. <br /> GOLDEN VALLEY, MN 55427 TOTAL 181.20 <br /> (763)438-9920 <br /> Minnesota State License#: BC001592 <br /> OWNER <br /> WOTIPKA, LINDA A& LEE A <br /> 9908NW 20TH ST <br /> PEMBROKE PINES, FL 33024- <br /> AGREEMENT AND SWORN STATGMGNT <br /> Thc work for which this permit iti issucd shall bc performcd according to <br /> thc approvcd plans and speci�ications,applicablc City approvals,and thc <br /> State L3uildinb Code. 'I�his pennit is for onlv the work described and does <br /> not grant permission for additional or rclated work which roquires scparalc <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied hercin.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 da}•s of the date of issuance,or if construction is <br /> suspcnded 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 /> revok d at an ti r�ue cause. �/��� <br /> • � l / / ( �_�, ,� �, ���,v_,c�,-, l /i (�'—/3 <br /> pplica t e ite �ignat � _ Date Issued By Signatur�e �� Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />