HomeMy WebLinkAbout1998-011060 - new res & det garage . - PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 -. ..��i_�.;:���=;
Crystal Bay, Minnesota 55323 Permit Number: �r'i F:!;��
(612)473-7357 Date Issued: � ,,,, ; `
,,,•.
SITE ADDRESS:
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Fii f i�. $ 1 F��.. _d.�.'�_'S r(�
DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: _ �-;�:�,� ; ,��,,��. _ «- - -� OWNER:
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A LI ANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE
Total Fee: $ l ��/. �� Date Received:
Entered By: � Pernut#: ,'�'C�c-�
CITY OF ORONO - BiTII..DING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
----------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: " ' � L� � � � ; �. ��ZIP:
NAME OF OWNER: � � � v n, � PHONE: (home) J��c� ��
1�� ,� �. �t v ��.., �1;� (work) ('� �o�'� � .%T
MAILING ADDRESS: ,�t l�. � �.� , / CITY: 5�-� �J<-�L, �f ZIP: �� '�� > �"
CONTRACTOR: � 4 -� �v �t� ,-� PHONE: � ?� — v � �/.�
CONTACT PERSON: .3�� --�-� � {� .�_ 1`+'IOBILE/PAGER: � 7 0 _ �, �. ��
MAILING ADDRESS: /1- �// � �/�_/.�r �'Iz�ITY:--� �. �l,. ,�ZIP: S'L.3 � c
STATE LICENSE: # b�S� �
ARCHITECT/ENGINEER: ,/C�� ^ --� PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New _� Addition Accessory Structure
Move Remodel/Alteration Land Alteration
�
PROPOSED WORK(describe in detainr• �t � ,ti. ��- 'i�-�... �A
� ! �
STORIES: ��� SQ. FEET OF EACH FLOOR: � /�
NO. OF BEDROOMS: �_ GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /:,1- �� <�"'�, � ;
I hereby apply for a building permit and I acknowledge that the information above is complete and
accurate; that the work will be in conformance with the ordinances and codes of the City and with
the State Building Code; that I understand this is not a permit and work is not to start without a
permit; and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: .- DATE: j��� fj��
;
NOTE! Parade of Homes eve s require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
9
� � �
Sec.13.04 RIGH'1'S OF SITBJECTS OF DATA '
Subd. 1. Type o[data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information req�rired to be given individaal. An individual asked to supply private or confidential data conceming himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecting�tate agency,political subdivision,or statewide system;
(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confiden6al data;and(d)the idenaty of other persons or entities authorized by state or federal law to receive ihe data. This requirement shall
not apply when an individual is asked to supply invesdgaave data,pursuant to secdon 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue mav place the nodce required under this subdivision in the individual income tax or propertv taz refund
instcuctions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be infoctned whether he is the subject
of stored data on individuals,and whether it is classified as public,private or confidendal. Upon his further request,an individual who is the subject
of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of die content
and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or acdon pursuant to this secaon is pending or addidonal data on the individual has been collected or created.
The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
within that tune,he shall so inform the individual,and may have an additional fivc days within which to comply with the request,ezcluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private
data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement.
The responsible authoriry shall within 30 days either: (a)correct the dara found to be inaccurate or incomplete and attempt to notify past recipients of
inaccuiate or incomplete data, including recipients named by the individual;or(b)norify the individual that he believes the data to be correct. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The detemunation of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd.2, "Rights of subjects of data",we would like to inform you that your request
for a permit or license from the City of Orono or any of its departments may require you to fumish certain private or
confidential information.
You are notified that:
1. The information you furnish will be used to determine your qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that the City deny the permit or license.
3. The information may be shared with other local, state or federal agencies to the eztent necessary to process
the pernut or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required to process this application or pernut.
-,� � �. � ..�
� �
First � �dle Last
�`9 —��_�/♦ er /T /�/ ��
A dresfl s�
v� -� � E �. �s� 7 � G. 7U �-O � ��
C��y State Z�p Phone
I understand my rights as stated above.
Signatu
� � CHECK Ok'F' LIST FOR TSSUANCE OF PER�1�iITS
� FOR OFFICE USE ONLY
ADDRESS OR LEGAL: _ �`� L��i n,6 5ro� � �
PID: ; - .
DES CRIPTION OF ti'VORb'.: N t3� 6Z�5 -}- t7 c�--f- �a 64-�t,a-to� � .
ZO�TiYG REVIE'�'V BX: � DAT�APPROVED: �L-�d - Q g �
l3UII.,D .�l'G REVIEti� 13Y: , � ,. � DATE APPROVED: � Z-`8 -`t�5
�'EES TO BE CHARGED: • � Misc. Fees Calculated By: � ~
PERMIT _Yes �:!' No .
PLAN REV�W Yes _� No SBWF��COVNECITON
STATE SUR`H�G�, Yes r/ No ti�ATER CO�tNECTION
I7YYESTIGAZTON-�EE Yes , No PAI�tK FEE
SAC Yes No � SITEI�i ISPECTION
Number of SAC Units ��,��;�,T�.�,,� �O�R�specify)
- ����D.�� Sl�9 --�=-- �---- ---
ZONII�'G C�CK LIST zoning Districc: L(L-l C.. �
Fire Departmenr. �(Y�,t�ur�,� Post Office: _�/(,m�,,�,,/) School District: _���-p�,<<.(�
Lot Area: Sq.ft. �(�jll3.�S Acres •2 3 tiVidch -7� Depth
Sucvey Submitted: Yes�_ No Date of Survey: 9-2�f-��$
Proposed Setbacks: �°� 6�� �'{"'s' 6�`�
Frout (La.�Ce): , Q � _:`3 _`- Right Side: 8l � ' .. -__ -•
._ --r -- - - _
Rear(Street): `� .� Left Side: ?� � S��-
Adjacent Struc[ures: �'� tiVetland: �f (I/a
Buildino Heiaht: Def. Hgt. Z2 Peak Hgt. Z.lo
Lot Coveraoe: 1�t�5
Grading: Staft Approval Date: _ /2-� -� � . By; �, Council Approval Date: �l�A
Septic: Staff Approval Dace: _� /'✓!� gy; —• � .
Zoning File: � � Zy35 Resolution: � Resolution Date: �`'Z3-`1'� •
Shoreland Disc.-ict: �
Avg. Setback: Bluff Setback: Lot Coveraae: � .
' • Ezis[in� Proposed �
Hardcover: 0-75'
75-250' . • � '
250-500' . . •
500-1Q00'
Hardcover Variance Required: Yes No Date of Council Approval:
�
REI�L?�R.KS ('in house):
. �. _ . - .
, ' '''��-. .26 .
BUILDING RE'VIE`�V CHECK LTST . . � : . - _
UBC: _ � /2- '� CONSTRUCTION TYPE: /�J . . - -
� Sq FootaQe S Per Sq Ft;
. Basemenc- gp� I�` � - . . _
. . lst Floor . � p�Ocf . . X �— � �t�5 �{ . .
���-3 r �zs:zY.
� 2nd Floor • � � x- SS,. . . : .'
Gara�e � 22x .� �l� �x .. bc�, 37 ... _ '�s �.�.2Y ' � - � � .
�2..C.� �� x��.00 = ��bo°" �
-_X 1 d.0 0 = 1.2/���_ '°.
� TOTAL
Esti.mated Construction Value: ���3,c�-�� .
- — Inspections Required: • Work Re uirin�
Site q b Separate Pertaits:
..�_.Plumbi.n� - Fire . .
Hardcover Removal oc Mechanical � �
�_Footin� Se tic � --�_1Vater Connection. .
_�Framiug P P� Sewer Connection ' .
Fir�place _��� �Q
�_Ins,ulation __ �ation
� Wall Board (M�SO�Y) Other . � � � .
p�� (11'if�•� WeII (State Permit)
O�her Gradin�/Fi�ling _�Electrical (State Perm.it)
REiI�A.RhS (IN HOUSE): � `--------�"` -
-------------------
REVJEtiV BY OTHERS: ------ DAT'E; ----- _ --_-------
Access: Existin� Ne�v -
----_
• Access Approval: Date .
-------------------------------- $y�
---�-_._�._�_
�IZA.�'S (�'O BE iV'OTED ON PERitiiIT): --�- -
� .
�-- - ,�:- , . : _ . ... _.____ .. _ . � 27 .._ ---- . • . ' , . � ._- :
�_ .__ ., - ----- . . --- --.. . _ .. . ... ._. . ._ -:- . .. .. ... ... ....._. . -
i .. . � . --. . _
'�:.� .
�� ..t. � .�•� � "���.'y ,.S; e.
i-- ' _ ' : ; . . . `" . . ' , .. , ';�Lr L� ��
• � i.:•• '\, . . . � .. • .. � .
�.��:
, . MINNESOTA STATE BU:ILDING COOE DIYISIOH � � . '.". : .:`..�:'.�:� .
, rv �. • .��• , . .
, . �� . .� ,
. �. , . •
. �
� EXi'ERIQR ENYEIOPE AVERAGE "U" COMP1lTATIQN • � �
�
OWNER „` � �� C--s � '
� J SITE AODi ; �'3 3 C:1/�,'�� �-- � : ���-�--�
� CONTRACTOR � OATE. J � PliONE �7�_- �.��
�. C ._._
, � � Oetermtne Norking :�quare foatage of each. '`t
� _ ,
1 .� Total exposed wal l area ..... . l c7 � � sq. ft.• x _____,_„
2. Tatal roof/ceiling area ...., . /G���� sq. ft. x •� = Z .00
. 7ota1 exposed trall are�� above floor s � O ,OD.
�` a. Total wall windorr area.......... . ................. ! �. O
� b. Total door area .......... ,......:................ ,
c. Tat�l sliding 31ass do^r arr� ..........•• •••••• --"' .
d. Total fireplace Na31 area. .........•••••••••••••• ---
e. ,Total wall framing area ta�rerage lOX1...:........ ,O
� f. Tbtal net rrall area above Floor ................. •
g. Total rim �oist area ............................ !o 00 •
� , Totai exposed faundation area s q . �-- .
h. Total foundatlon windo�+ area..................... "
i. ?oaa net foundatton a�ei abvve grade ............ �1�_... �
Determine "U° value of each wall segment.
a. e O X "U" '� " �+ �!Z �
' �. /.A,L�rj . X n�u �� : � � �J�O � .
�� t l�� _ � � t
C � X nUn — � — . , ,
.
� r ��
J r y qfflf a
Y• /\ V
` e. �1��.01 X p U n„_,�_
____
, e ►
. '� f. 1 '���. � x Mu° o .
• a• ���• �� A ~VN ` v"( ! � /
.����
il• �..�' Y �tI1M ��. . _ �
n v _
3. ��, � � X n�e �i o� _ � �
� —
.
�. . . . ... . . . . .... .:.. .... . .. .. . . ... . .. .Total a t�,]
, If itesn �3 is thP s�rt;e as, or l�ess than itern �1 . you have met the intent
of S�C t;U(}fi����2.
' • ♦' , .� � , . ' • �J . � .
T `' � • '
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' , _
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Total exposed roof/ce�iling area t �G��00
�. Tota] skyllght area...... ....... ................ ''�" " .
k. 7ota1 roof/cetling iramin�� area {average i0x���2 ��
1 . Total aet insul�ted roof/��elling area........... , o �
Oetermine "U" value for ea�lh ronf/ceiling segrxnt. -
� � ` X �U� , � � �
.
k._ �r 2�� X "U" , . 02- s .___�•�-�.
' t.�: �o x MuM , , o�- �e �, �
4.. .. . . . .. ... .... .. ................�rotal � �o.—oo
i •
If total af �4 is the same as, or less• than !2, you �hare met the intent of
' SBC 6005(c)1. � .
altemate Bu1]�1ng Envelope Design
To utilize the total envelQpe �system i�thod, the values establtshed by the
sum of items /3 and !4 shali r�ot be greater than the s� of ltems �1 and 02.
1. �_� + 2. ?,lo.cb . z3�j, .
3. l 5'J. �� + 4. �.Oo � 1 �-
. �, -
' � . '
DATE TIME
CITY OF ORONO CALLED IN /�� . (' t
INSPECTIONNOTICE� ���U SCHEDULED �� -z �� %
PERMIT NO. cOMPLETED �'�. �
.�, .
ADDRESS L �
OWNER CONTR.�yl'�r-G7..`7
TELEPHONE NO. �� —��
� DE$ IPTION ���..r �
W �F�T�.1lG� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. n pHOTO TAKEN
INSPECTOR WILL RETURN
i- CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contra n ite:
Inspector. —
White Copyllnspector's Fil Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN - �S-
INSPECTION NO I E SCHEDULED �_ _�
PERMIT NO. COMPLETED
ADDRESS ��
OWNE " CONTR. �
TELEPHONE NO. �`�� ' D�o S� 3
� DESCRIPTION _ I tT�� �/� f"L��;d`�1�
� 01 N�'- 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWEA HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOFi TO MEET YOU:_YES_NO
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0 BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL iNSPECTOR �CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance.473-7357
OwnerlContra o ite:
Inspector. �
White Copyllnspector's Fi Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED W ����_'�g%
INSPECTION NOTICE SCHEDULED �� �' /L7 = ���
PERMIT NO. �i � 7G COMPLETED
ADDRESS �'�3 3�;�b� _ �:-C`�-
OWNER CONTRc���,
TELEPHONE NO. ��J� - ��v��
� DESCRIPTION .�'11���T��
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMI 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
INSULATIO 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
ZBD. 12 WATER HOOK-UP 17 SITE INSPECTtON
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �7 CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next nspection 24 hours in advance.473-7357
OwnerlContratc on i -
Inspector.
White Copyllnspector's File Canary CopylSite Notice
��� �
�� l� DATE TIME
CITY OF O ONO CALLED IN � y `
INSPECTION NOTICE SCHEDULED/ � �rt,� �`tc
PERMIT NO. ,'��v�� OMPLETED l�
ADDRESS H �' �->- `
OWNER � CONTR.
TELEPHONE NO. ' -��- l ��' ( �F'� � � �
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� TION
~ 1 FOOTING 11 M ANICAL RI 18 EXCAV/GRADING/FILLING
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Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATtON 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING R� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED G PROJECT COMPLETE
� ❑CORRECT WORK 8�PROCEED C:' ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. CI PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �-' CITATION ISSUED
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next'nspection 24 hours in advance.473-73�J7
Owner/Contra on it :
Inspector. -
White Copyllnspector's File; Canary CopylSite Notice
SURVEY FOR: J & L Homes, Inc.
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DESCRIPTION: Lot 4 & West Half of Lot 3, Block 5, PROFESSIONALLANDSURVEVORS
NAVARRE HEIGHTS , Hennepin COULlty� ANDLANDDEVELOPMENTCONSULTANTS
Minnesota. (612) 421-9126
13621 VINEWOOD LANE DAVTON,MN 55327
o Denotes Iron Monuments ���o ��� i
x lleriotes Spikes set tor 131c1g. Control Y I
xxx.x Denotes Existing Ground Elevations Lot Area = 10,113.75 Sq. Ft. �
(xxx.x) Denotes Propsoed Final Grades House, Garage
& Drive 2,428 +- Sq. Ft.
PROPOSED TOP FOUNDATION ELEV. a�f(p.�
PROPOSED GARAGE FLOOR ELEV. 9f,s� percent of coverage = 24%+-
PROPOSED LOWER FLOOR ELEV. 9G��� CI� O� O�O���
NOTE: Verify all proposed grades and dimensions with
a 1� actua 1 f ina 1 p lans. �- SITE �'����! G�AC�lNG PLAN
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Inv " 957 S3 I hereby certify that this survey was prepared by me or under my direct
supervision and that I am a duly Licensed Professional Land Surveyor under
the �a s of the�e of Minnesota. Dated 9/24/98
BY <<-> �-� -c. , Minnesota License No. 12267
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