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UMM <br /> CITY OF ORONO **®®� 0 0 s 1 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/09/2017 <br /> * ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS 2496 OLD BEACH RD <br /> PIN 21-117-23-22-0006 <br /> LEGAL DESC SHORE HILLS <br /> : LOT 005 BLOCK 000 <br /> PERMIT TYPE ZONING PERMIT <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE STRUCTURE PERMIT <br /> NOTE: IN KIND REPLACEMENT OF SHED <br /> APPLICANT STRUCTURE PERMIT 50.00 <br /> TOTAL 50.00 <br /> HELD COMPANIES Payment(s) <br /> 22415 COUNTY RD 50 CHECK 8669 50.00 <br /> CORCORAN,MN 55340- <br /> (612)209-4335 <br /> OWNER <br /> CARLSON,GERALD&DIANE <br /> 2496 OLD BEACH RD <br /> WAYZATA,MN 55391-. <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 /> revoked at any time for due cause. <br /> "�O��a �� <br /> � <br /> Applicant Petmitee Signature at Issued By Signature Date <br />