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CITY OF ORONO PERMIT NO.: 2009-00533 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 08/26/2009 <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1110 WILLOW DR S <br /> PIN : 10-117-23-24-0011 <br /> LEGAL DESC : UNPLATTED 10 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 700.00 <br /> NOTE: <br /> TEAR OFF/REROOF <br /> APPLICANT <br /> PERMIT FEE SCHEDULE 31.50 <br /> GLASER,ROBB STATE SURCHARGE(VALUATION) 0.50 <br /> 1110 WILLOW DRS <br /> WAYZATA,MN 55391 MISC FEE 0.00 <br /> TOTAL 32.00 <br /> OWNER <br /> GLASER, ROBB <br /> 1110 WILLOW DR S <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 •ponsible for assuring all required inspections are <br /> requested in co . ance with the State Building Code.This permit may be <br /> revoked at any 'e for due cause. <br /> / / — 411P /11.1�1 / � a <br /> Applicant Permitee Signature Date I .es By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />