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', � , . CITY OF ORONO * 2 0 1 6 - 0 0 4 9 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/OU2016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2695 KELLY AVE <br /> PIN : 20-117-23-14-0008 <br /> LEGAL DESC : CARMAN COVE <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTMTY : 434-RESIDENTIAL <br /> VALUATION : $ 5,000.00 <br /> NOTE: DECK PERMIT <br /> NOTE: PRIOR TO RELEASE OF ESCROW MONEY,¢q�'INAL INSPECTION MUST BE COMPLETED AND ALL DISTCJRBED AREAS <br /> ESTABLISHED WITH VEGETATION. INITIAL: _ �� <br /> APPLICANT PERMIT FEE SCHEDULE 123.87 <br /> STONEWOOD,LLC PLAN REVIEW 80.52 <br /> 153 E LAKE STREET STATE SURCHARGE(VALUATION) 2.50 <br /> WAYZATA,MN 55391- TOTAL 206.89 <br /> (612)462-4000 Payment(s) <br /> Minnesota State License#:BUIL-BC594315 CHECK 12087 206.89 <br /> OWNER <br /> HIEPER,POLLY <br /> 2695 KELLY AVE <br /> EXCELSIOR,MN 55331- <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]aws 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 /> revoked at any rime for due cause. <br /> � � ► i� r� �� L � � , � ,1-� <br /> App icant Permit igna Date Issued y ignature Date <br />