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� <br /> � ' CITY OF ORONO * 2 0 1 3 - 0 PJ 6 7 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/18/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1815 FAGERNESS POINT RD <br /> PIN : 17-ll 7-23-22-0033 <br /> LEGAL DESC : MAPLEGATE INLET <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERAT[ONS <br /> PROPERTY TYPE : RESIDEN�I�IAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BUILD[NG - UNDEFINED <br /> VALUATION : $ 2,050.00 <br /> NOTE: REYI,ACE EN"1'RY DOOR. <br /> APPLICANT PERMIT FEE SC}��EDULE 88.50 <br /> DENNIS SARELL CONSTRUCTION INC STATE SURCHARGE(VALUATION) 1.02 <br /> 1 1368 RED FOX DRNE <br /> MAPLE GROVE, MN 55369- TOTAL 89.52 <br /> (612)723-2354 <br /> Minnesota State License#: IR665951 <br /> OWNER <br /> HYLAND, ANNA & SEAMUS <br /> 1815 FAGERNESS PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work for which this pemiit is issucd shall be peribrmed according to <br /> the approved plans and speciYications,applicable City approvals,and the <br /> State Building Code. "I�his permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> pemiits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied herein."I�his permit will <br /> expire and become null and void iY construction authorized is not <br /> commenccd within 180 days of the date of issuance,or if construction is <br /> suspended for a period of I 80 days at any time after work has commenced. <br /> I�he applicant is responsible 1br assuring all required inspections are <br /> request �conformance with the State Building Code "I�his permit may bc <br /> revok at any time for e ause. <br /> ��-1���� , �-, <br /> npplicant Permitee Signature Date <br /> Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />