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� � CITY OF ORONO � _ � <br /> 2750 KELLEY PARKWAY 1 3 0 0 5 4 9 * <br /> DATE ISSUED: 08/28/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 3625 JACOBS MILL RD <br /> PIN : 32-118-23-24-0013 � <br /> LEGAL DESC : JACOBS MILL <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : POOL-IN GROUND <br /> ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES <br /> VALUATION : $ 28,000.00 <br /> NOTE: M-GROUND POOL <br /> APPLICANT pERMIT FEE SCHEDULE 445.25 <br /> JRS POOLS PLAN REVIEW 289.41 <br /> 1105 CROFOOT AVE.NW STATE SURCHARGE(VALUATION) 14.00 <br /> BUFFALO,MN 55313 <br /> TOTAL 748.66 <br /> OWNER <br /> SCHMID, KURT&CAROL <br /> 2950ISLAND VIEW DRIVE <br /> MO[JND,MN 55364- <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 sepazate <br /> permits. All provisions of laws and ordinances goveming 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 a ny time for due cause. <br /> t � l /� Vl��I �J <br /> Applicant Permitee Signat re Date ssued y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />