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, CITY OF ORONO PERMIT NO.: 2010-00393 <br /> ` 2750 KELLEY PARKWAY <br /> ' ORONO,MN 55356- DATE ISSUED: 06/OU2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3423 SHORELINE DR <br /> PIN : 20-117-23-12-0034 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1422 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ACCESSORY STRUCTURE-TEMPORARY <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : TENT <br /> VALUATION : $ 0.00 <br /> NOTE: TENT USED FOR SALE AND STORAGE OF CONSUMER FIREWORKS <br /> APPLICANT pERMIT FEE SCHEDULE 25.00 <br /> FIREWORKS,FREEDOM,AND FUN STATE SURCHARGE(VALUATION) 0.50 <br /> 3806 GABLES COURT <br /> EAU CLAIRE,WI 54701- TOTAL 25.50 <br /> (763)213-4499 <br /> OWNER <br /> Brook Investment Group LLC <br /> 34321 MYRTLE LA <br /> LJNION CITY,CA 94587- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit 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 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 /> �i��Q�G� L K- l l � <br /> Applicant Permitee Signature Date Issued By ' nature <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />