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CITY OF ORONO * 2 0 1 7 - 0 1 2 0 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/23/2017 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2435 NORTH SHORE DR <br /> PIN : 09-117-23-44-0010 <br /> LEGAL DESC : SCOTCH PINE ADDN <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : POOL-IN GROUND <br /> ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES <br /> VALUATION : $ 82,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED; MECHANICAL,ELECTRICAL(STATE) <br /> IN-GROUND POOL <br /> NOTE: ALL DISTURBED AREAS MUST BE RE-ESTABLISHED WITH VEGETATION: INITIAL: <br /> APPLICANT PERMIT FEE SCHEDULE 968.08 <br /> STATE SURCHARGE(VALUATION) 41.00 <br /> OLYMPIC POOLS,INC. TOTAL 1,009.08 <br /> 135 S ATWOOD STREET Payment(s) <br /> SHAKOPEE,MN 55379 CHECK 15597 1,009.08 <br /> (952)445-7779 <br /> Minnesota State License#:BUIL-20458239 <br /> OWNER <br /> HOVDE,ROBERT <br /> 2435 NORTH SHORE DR <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 p(ans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> permiu. 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 at any time for due cause. <br /> � G4� l D�Z 3//7 / l <br /> Applicant Permitee Signature Date Issued By Signature Date <br />