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CITY OF ORONO * 2012 - 01042 * 2750 KELLEY PARKWAY DATE ISSUED: 11/29/2012 ORONO, MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 2643 THOROUGHBRED LA PIN 04-117-23-12-0021 LEGAL DESC OLD CRYSTAL BAY ROAD 2ND ADDN LOT 006 BLOCK 002 PERMIT TYPE ACCESSORY STRUCTURE PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE GARAGE-DETACHED ACTIVITY : 438-ADDNS OF RES GARAGES&CARPORTS VALUATION : $ 34,000.00 NOTE: SEPERATE PERMITS REQUIRED:ELECTRICAL(STATE) *PRIOR TO RELEASE OF BUILDING PERMIT ESCROW: 1 -AN AS-BUILT SURVEY MUST BE SUBMITTED AND APPROVED 2-A PLANTING PLAN MUST BE SUBMITTED AND APPROVED FOR THE VEGETATION RESTORATION M THE WETLAND APPLICANT PERMIT FEE SCHEDULE 509.75 SHORELINE BUILDERS STATE SURCHARGE(VALUATION) 17.00 2184 SHADYWOOD RD WAYZATA,MN 55391- TOTAL 526.75 (763)506-0629 Minnesota State License#:20630814 OWNER CHAMPLIN,JUDSON&ALEYA 2643 THROUGHBRED LA LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commelattime hin 180 days of the date of issuance,or if construction is suspendpeV' 'o s at any time after work has commenced. The appresuring all required inspectionrequestfoe State Buildin i s permit may be revoked A p isitee Signature Date Issued By Si ture D SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E.