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CITY OF ORONO PERMIT <br /> Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 P07976 <br /> Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations <br /> (952) 249-4600 Date Issued: 9/22/2004 <br /> SITE ADDRESS: 1101 Willowbrook Dr <br /> Wayzata,MN 55391 <br /> PID: 26-118-23-41-0003 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: Building Census Code 0/S-Building <br /> Permit Type: Minor Alterations Permit Sub-type(s): Chimney <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 335.25 <br /> Valuation: $ 21,000.00 <br /> State Surcharge Fee: $ 11.00 <br /> TOTAL FEE: $ 346.25 <br /> APPLICANT: Expert Masonry Inc. OWNER: Darald&Lois Brueske <br /> 17490 Mushtown Rd. 1101 Willowbrook Dr <br /> Prior Lake,MN 55372 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 CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> itiTrilir• (62 ?--) <br /> APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE <br /> Conies: 1-File(Siinitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessinc. 1-Finance Page 1 <br />