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1 <br /> � � � � PERMIT <br /> CITY OF ORONO Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 P08079 <br /> Crystal Bay, Minnesota 55323 Permit Type: New Structure <br /> (952) 249-4600 Date Issued: 10/29/2004 <br /> SITE ADDRESS: 1690 Shadywood Rd <br /> Wayzata,MN 55391 <br /> PID: 17-117-23-21-0017 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Construction Type VN <br /> Proposed Use: Residential <br /> Permit Class: Building Census Code 434 <br /> Permit Type: New Structure Permit Sub-type(s): New Home-Single Family <br /> DETAILS: <br /> Approved per resolurion#: <br /> Separate permits required: riumoing iviecnanicai rirepiace waier Connecuon�ewer C,onneciion imgaiion r,iecuicai�siaiej <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 2,673.75 Valuation• $ 400,000.00 <br /> Plan Review Fee: $ 1,738.03 <br /> State Surcharge Fee: $ 200.50 <br /> TOTAL FEE: $ 4,612.28 <br /> APPLICANT: Owner/Self OWNER: James&Darcey Loffler <br /> n'IN 1690 Shadywood Rd <br /> Wayzata,MN 55391 <br /> Tf-�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 /> /��---- <br /> APPLICANT PERMITEE GNATURE I SUED BY SIGNATURE <br /> Couies: 1-File(SiQnitures Required),1-Auplicant, 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1 <br />