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PERMIT <br /> CITY`OF 'ORONO <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Po2toa <br /> Crystal Bay, Minnesota 55323 Pef1111t Typ@: Addition/Remodel/Repair <br /> (612) 249-4600 Date Issued: 3�voo <br /> SITE ADDRESS: 1780 Shadywood Rd <br /> WAYZATA,MN 55391 <br /> P ID: 17-117-23-21-0024 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Construction Type VN <br /> Proposed Use: <br /> Census Code 434 <br /> Permit Class: Building <br /> Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Single Family <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: riumoing iviecnanic:ai Eiecuicai(siatej <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 2�9•25 Valuation: $ 16,500.00 <br /> Plan Review Fee: $ 181.48 <br /> State Surcharge Fee: $ 8.25 <br /> TOTAL FEE: $ 468.98 <br /> APPLICANT: ANTHONY PATTERSON OWNER: ANTHONY PATTERSON <br /> 1780 SHADYWOOD RD 1780 SHADYWOOD RD <br /> WAYZATA,MN 55391 WAYZATA,MN 55391 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CI"IY OF ORONO ORDINANCES AND <br /> STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS. <br /> , ��,�,`�'� �;'� ��-'�-n,.t,� �: �� <br /> �._ k <br /> AP LICANT PERMITEE SIGNATURE " Ir UE BY SIGNATURE <br /> Copies: City,Applicant,Assessor, Finance Page 1 <br />