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' -- � CITY OF ORONO PERMIT NO.: 2011-01381 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 1U08/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3605 SHORELINE DR <br /> PIN : 20-117-23-21-0028 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 007 BLOCK 007 <br /> PERMIT TYPE : SIGN <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : SIGN-ON BUILDING <br /> VALUATION : $ 700.00 <br /> NOTE: 8'X 3'X 24'SIGN-NAME CHANGE FROM QWEST TO CENTURYLINK <br /> APPLICANT SIGN PERMANENT 35.00 <br /> TOPLINE ADVERTISING INC MAIL-IN FEE 2.00 <br /> 11775 JUSTEN CIRCLE#A <br /> MAPLE GROVE,MN 55369- TOTAL 37.00 <br /> (763)428-5067 PAID WITH CC# 1716 <br /> OWNER <br /> Qwest Corporation <br /> TAX,ATTN: PROPERTY <br /> 1801 CALIFORNIA ST#2500 <br /> DENVER,CO 80202- <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 dces <br /> not grant permission 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 /> 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 d e cause. <br /> ��L�.c�� //� r�"i // <br /> / � 8` � // <br /> Appl�cant Permitee Signature Date Iss By �gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. <br />