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CITY OF ORONO PERMIT NO.: 2009-oo3s2 <br /> .� 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 07/07/2009 <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2050 SHORELINE DR <br /> PIN : 10-117-23-34-0014 <br /> LEGAL DESC : HARTWOOD <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 17,000.00 <br /> � <br /> APPLICANT PERMIT FEE SCHEDULE 295.00 <br /> TONKA ROOFING STATE SURCHARGE(VALUATION) 8.50 <br /> 4573 SADDLEWOOD DR. TOTAL 303.50 <br /> MINNETONKA, MN 55345- <br /> (612)598-3116 PAID WITH CC# 3309 <br /> Minnesota State License#:20586668 <br /> OWNER <br /> KVAMME TRUST(TOM BROSTROM), BERTA <br /> 2050 SHORELINE 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 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 separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shail be compied with whe[her 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 da[e of issuance,or if construction is <br /> suspended for a period of I 80 days at any[ime after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in formance wiCh the State Building Code.This permit may be <br /> revo at a or due cause. <br /> . <br /> , �'" ,�;'!-�'/�. <br /> � _ �-. i0 S ��_C_� ,-��t � c; ��� ��, , � �`�� <br /> A licant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />