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' CITY OF ORONO PERMIT NO.: 2009-00539 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 08/28/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 3105 SIXTH AVE N <br /> PIN 28-118-23-32-0007 <br /> LEGAL DESC UNPLATTED 28 118 23 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ROOFING-ASPHALT <br /> ACTIVITY O/S BUILDING-UNDEFINED <br /> VALUATION $ 1,400.00 <br /> APPLICANT PERMIT FEE SCHEDULE 54.25 <br /> YOUNG,BENEDICT&DENISE <br /> 3105 SIXTH AVE N STATE SURCHARGE(VALUATION) 0.70 <br /> LONG LAKE,MN 55356 TOTAL 54.95 <br /> PAID WITH CASH 54.95 <br /> OWNER <br /> YOUNG,BENEDICT&DENISE <br /> 3105 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 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 /> 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 /> Applicant Pe 1-4e Signature Date Issugfl By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />