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� CITY OF ORONO PERMIT NO.: 20�0-oo96s <br /> � 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 10/07/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2240 SHADYWOOD RD <br /> PIN : 17-117-23-42-0001 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 5,200.00 <br /> APPLICANT pERMIT FEE SCHEDULE 132.75 <br /> CARSTENSEN CONSTRUCTION INC STATE SURCHARGE(VALUATION) 5.00 <br /> 2410 BRIDLE CREEK TR <br /> CHANHASSEN,MN 55317- MISC FEE 0.00 <br /> (612)840-2607 TOTAL 137.75 <br /> Minnesota State License#:20165907 <br /> Pd by CG <br /> OWNER <br /> FREEMAN,CHRISTINE <br /> 2240 SHADYWOOD 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 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 I 80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State de.This permit may be <br /> revoked at any time for <br /> � � / / <br /> App ic t Permitee Signature ate Issued By Si ure te <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOVE. <br />