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CITY OF ORONO *� 3 - 0 0 Z 6 3 * <br /> • 2750 KELLEY PARKWAY DATE ISSUED: 04/24/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4051 HIGHWOOD RD <br /> PIN : 07-117-23-44-0076 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1420 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION /REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 7,059.00 <br /> NOTE: DrCK BOARD AND WALKWAY REPLACEMENT <br /> APPLICANT PERMIT FEE SCHEDULE 162.25 <br /> CONCEPT LANDSCAPING PLAN REVIEW 105.46 <br /> 3153 PRIEST LANE <br /> MOUND, MN 55364 STATE SURCHARGE(VALUATION) 3.53 <br /> �� TOTAL 271.24 <br /> OWNER <br /> ROUSE, WILLIAM&ANITA <br /> 4051 HIGHWOOD ROAD <br /> MOUND, MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> Che work for which this permit is issued shall be performed according to <br /> [he approved plans and speci6cations,applicable City approvals,and the <br /> State Building Code. This permit is for only the work describcd and does <br /> no[grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing Ihis 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 Stat�'Building Code.This permit may be <br /> revoked at a d us <br /> � <br /> 'y� �y� /� � ,a , 3 <br /> ermi e Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />