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11111111111101111111111 <br /> M CITY OF ORONO * 2012 - 01122 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/09/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS 2645 WATERTOWN RD <br /> PIN 04-117-23-12-0008 <br /> LEGAL DESC OLD CRYSTAL BAY ROAD ADDN <br /> LOT 001 BLOCK 001 <br /> PERMIT TYPE ACCESSORY STRUCTURE <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE POOL-IN GROUND <br /> ACTIVITY 329-STRUCTURES OTHER THAN BUILDINGS <br /> VALUATION $ 53,000.00 <br /> JRS POOLS APPLICANT PERMIT FEE SCHEDULE 704.25 <br /> 1105 CROFOOT AVE.NW PLAN REVIEW 457.76 <br /> BUFFALO,MN 55313 STATE SURCHARGE(VALUATION) 26.50 <br /> TOTAL 1,188.51 <br /> OWNER <br /> VANOVERBEKE,PETER&AMANDA <br /> 2645 WATERTOWN RD <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,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 or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type 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 construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> rev at any time for due cause. <br /> APernfitee Signature Date 4su4,—gna&ture -'4– <br /> Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />