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���� CITY OF ORONO PERMIT NO.: 2011-00368 <br /> ; 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 05/19/2011 <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 PERMIT FOR FIREWORKS SALE AT 3423 SHORELINE DRIVE <br /> � <br /> APPLICANT pERMIT FEE SCHEDULE 25.00 <br /> ; QUENTIN NELSON <br /> i 3806 GALES TOTAL 25.00 <br /> �EAU CLAIRE,WI 54701- <br /> ;,(763)442-7676 <br /> � OWNER <br /> � Brook Investment Group LLC <br /> 34321 MYRTLE LA <br /> � LTNION CITY,CA 94587- <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 Ciry approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant pertnission for additional or related work which requires sepazate <br /> permiu. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> L '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 /> i; suspended for a period of 180 days at any time after work has commenced. <br /> i;. �The applicant is responsible for assuring all required inspections are <br /> �' 'requested in conformance with the State Building Code.This permit may be <br /> ;r': revoked at any time for due cause. <br /> j'; <br /> ip- / / J�"/ / -�'J/ // <br /> �» <br /> �,Applicant Permitee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br /> �. <br />