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� � <br /> CITY OF ORONO * 2 0 1 7 - 0 1 5 0 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1]/2?J2017 <br /> ORONO,NIN 5535Cr <br /> (952)249-4600 FAX: (952 249-4616 <br /> ADDRESS : 4064 NORTH SHORE DR <br /> PIN : 07-117-23-44-0085 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <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 : $ 2,200.00 <br /> NOTE: 2ND STORY ADDITION <br /> APPLICANT PERNIIT FEE SCHEDULE 92.89 <br /> PLAN REVIEW 6038 <br /> JANET M OBRIGEWITSCH,DAN H PHIPPS& STATE SURCHARGE(VALUATION) 1.10 <br /> 4064 NORTH SHORE DR <br /> MOUND,MN 55364 TOTAL 154.37 <br /> Payment(s) <br /> CHECK 8086 15437 <br /> OWNER <br /> JANET M OBRIGEWITSCH,DAN H PHIPPS& � <br /> 4064 NORTH SHORE DR <br /> MOIJND,MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specificarions,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional ar related work which requires separate <br /> permits. All provisions of laws and ordinances governing this lype 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 construcrion is <br /> suspended for a period of 180 days at any time after work 6as commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> reqaested in co w� Building Code.This permit may be <br /> revoked at any e for due cause. ` <br /> �� � a � -��� � !l , �z , i7 <br /> App' ermitee Signa ate Issued By i ahue Date <br />