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PERMIT <br /> CITY OF ORONO <br /> 2750 Kell,y Parkway- PO Box 66 Permit Number: Po�26s <br /> Crystal Bay, Minnesota 55323 Permit Type: Addirion/RemodeURepair <br /> (952) 249-4600 Date Issued: 4�2�2004 <br /> SITE ADDRESS: 1680 Shadywood Rd <br /> Wayzata,MN 55391 <br /> PID: 17-117-23-21-0016 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Proposed Use: Residential Construction Type VN <br /> Census Code 434 <br /> Permit Class: Building <br /> Pernvt Type: Addirion/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: riumbing Eiecmcai�siaiej <br /> NOTICES/REMARKS: <br /> •1_1___�""__�7__ T�'a_1__"_ <br /> ��v.vvu�uib u��ivwuv�� <br /> FEE SUMMARY: Pernut Fee: $ 542.75 Valuation• $ 40,000.00 <br /> Plan Review Fee: $ 352.83 <br /> State Surcharge Fee: $ 20.50 <br /> TOTAL FEE: $ 916.08 <br /> APPLICANT: Owner/Self OWNER: John Doleman <br /> n'IN 1680 Shadywood Rd <br /> Wayzata MN 55391 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> ,�...P ���2 � �'1 2� <br /> PPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE <br /> Conies: 1-File(SiQnitures Required), 1-Annlicant. 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 <br />