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CITY OF ORONO * 20 1 6 - 00 4 <br /> • 2750 KELLEY PARKWAY DATE ISSUED: 04/25/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4705 WATERTOWN RD <br /> PIN : 31-118-23-22-0003 <br /> LEGAL DESC : UNPLATTED 31 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ACCESSORY STRUCTURE-TEMPORARY <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : TENT <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 0.00 <br /> NOTE: DATE(S)TENT(S)WILL BE UP: SEPTEMBER 10,2016 <br /> SIZE OF TENT(S): 40'X 60' <br /> APPLICANT PERMIT FEE SCHEDULE 25.00 <br /> TOTAL 25.00 <br /> PRCHAL,DEREK&KELLY Payment(s) <br /> 4705 WATERTOWN RD CHECK 5003 25.00 <br /> MAPLE PLAIN,MN 55359- <br /> OWNER <br /> PRCHAL,DEREK&KELLY <br /> 4705 WATERTOWN RD <br /> MAPLE PLAIN,MN 55359- <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 Permitee Signature Date Issued 1,qi�ature Date <br />