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k i- <br /> CITY OF ORONO PERMIT NO.: 2008-00361 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 11/06/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 3635 TOGO RD <br /> PIN : 17-117-23-34-0014 <br /> LEGAL DESC TOWNSITE OF LANGDON PARK <br /> LOT 006 BLOCK 010 <br /> PERMIT TYPE USER DEFINED <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE LAND ALTERATION(0-500 CU YDS) <br /> NOTE: <br /> LAND ALTERATION PERMIT-0-500 CUBIC YARDS <br /> APPLICANT .. <br /> SCH <br /> OMARY. <br /> 3635TOGO RD <br /> LAND ALTERATION 50.00 <br /> TOTAL 50.00 <br /> WAYZATA,MN 55391 <br /> .OWNER... <br /> SCHOMMER,MARY <br /> 3635 TOGO RD <br /> WAYZATA,MN 55391 <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 caus <br /> Y'W /ti 0(pi 0 $ <br /> Applicant Permitee Signa-fu-re Date <br /> I d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />