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, � CITY OF ORONO * 2 0 1 5 — 0 1 2 4 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/20/2015 � <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2060 SIXTH AVE N <br /> PIN : 27-118-23-31-0002 <br /> LEGAL DESC : LJNPLATTED 27 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SIGN <br /> PROPERTY TYPE : RELIGIOUS <br /> CONSTRIJCTION TYPE : SIGN-FREE STANDING/MONUMENT <br /> VALUATION : $ 32,000.00 <br /> NOTE: ELECTRONIC READER BOARD <br /> NOTE: PRIOR TO RELEASE O S O MONEY,AN AS-BUILT SURVEY AND HARDCOVER CALCULATIONS MUST BE SUBMITTED <br /> AND APPROVED. INITIAL: <br /> APPLICANT SIGN PERMANENT 512.68 <br /> SIGN SOURCE TOTAL 512.68 <br /> 14530 MARTIN DRIVE Pay�ent(s) <br /> EDEN PRAIRIE,MN 55344 CHECK 8439 512.68 <br /> OWNER <br /> Trinity Lutheran Church <br /> 2060 SIXTH AVE N <br /> LONG LAKE,MN 55356- <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 /> 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 co rmance with the State Building Code.This permit may be <br /> revoked at time for due cause. ,- <br /> U zv zD�'S 0 �S-v /D l� l� <br /> Ap icant Permite re Date Issued Signature Date <br /> �. <br />