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F CITY OF ORONO PERMIT NO.: 2011-00479 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/16/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2320 SHADOWOOD DR <br /> PIIv : 27-118-23-32-0014 <br /> LEGAL DESC : SHADOWOOD FARM <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 9,000.00 <br /> NOTE: TEAR OFF AND RESIDE HOUSE AND GARAGE <br /> APPLICANT pERMIT FEE SCHEDULE 177.00 <br /> MIDWEST ROOFING STATE SURCHARGE(VALUATION) 4.50 <br /> 6541 SYCAMORE CT N <br /> MAPLE GROVE,MN 55369- TOTAL 181.50 <br /> (763)427-9696 <br /> Minnesota State License#:20637010 <br /> OWNER <br /> REHBEIN,RONALD&DAWN <br /> 2320 SHADOWOOD DR <br /> LONG LAKE,MN 55356 <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 retated 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 i conformance with the State Building Code.This permit may be <br /> revo at a ti for due cause. /'/ !� / � ` <br /> a% �Sl ! ( <br /> Applicant Permitee Signature Date / � <br /> Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />