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CITY OF ORONO PERMIT NO.: 2010-00819 <br /> • 2750 KELLEY PARKWAY <br /> . ORONO, MN 55356- DATE ISSUED: 09/10/2010 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1925 WEST FARM RD <br /> PIN : 27-118-23-43-0014 <br /> LEGAL DESC : THE FARM AT LONG LAKE <br /> : LOT 012 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 20,000.00 <br /> 1 <br /> 1 <br /> APPLICANT PERMIT FEE SCHEDULE 339.25 <br /> TIMBERLINE EXTERIORS, INC. STATE SURCHARGE(VALUATION) 10.00 <br /> 7026E FISH LAKE ROAD <br /> MAPLE GROVE,MN 55311- TOTAL 349.25 <br /> (651)329-6916 <br /> Minnesota State License#: 20633887 <br /> OWNER <br /> SCHROEDER,CHARLES <br /> 1925 WEST FARM RD <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 applican is responsible for assuring all required inspections are <br /> requested in on rmanc .with the State Building Code.This permit may be <br /> revoked y 'e f ue cause. <br /> Ap ftnitee S. nature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />