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CITY OF ORONO PERMIT NO.: 2004-07768 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/10/2004 952 249-4600 FAX: 952 249-4616 REPRINTED ON 10/14/2010 ADDRESS : 270 NORTH SHORE DR W PIN : 06-117-23-23-0019 LEGAL DESC : IDYLLVALE FARM : LOT 002 BLOCK 001 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE POOL-IN GROUND ACTIVITY 329-STRUCTURES OTHER THAN BUILDINGS NOTE: P07768-THIS PERMIT WAS APPLIED FOR AND KEYED INTO WRONG ADDRESS(270 NORTH SHORE DR W),DISCOVERED ON 9/23/10 BY PLANNING&ZONING. ASKED TO CHANGE TO CORRECT ADDRESS(210 NORTH SHORE DR W). APPLICANT PERMIT FEE SCHEDULE 321.25 DOLPHIN POOL&SPA PLAN REVIEW 208.78 3405 HIGHWAY 169 NORT PLYMOUTH,MN 55441 STATE SURCHARGE(VALUATION) 10.50 TOTAL 540.53 OWNER TASTAD,JOHN M&KIMBERLEY 210 NORTH SHORE DR W MOUND,MN 55364- 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 C 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 commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.