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� • <br /> CITY OF ORONO PERMIT NO.: 2011-00691 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISsuED: 07/22/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1635 CONCORDIA ST <br /> PIN : 17-117-23-22-0040 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1628 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ACCESSORY STRUCTURE-TEMPORARY <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : TENT <br /> VALUATION : $ 0.00 <br /> NOTE: DATE(S)TENT(S)WILL BE UP: AUGUST 6,2011 <br /> SIZE OF TENT(S):40 X 40 <br /> APPLICANT PERMIT FEE SCHEDULE 25.00 <br /> ALTON, LISA <br /> 1635 CONCORDIA ST TOTAL 25.00 <br /> WAYZATA, MN 55391- PA[D WITH CC# 1501 <br /> OWNER <br /> ALTON, LISA <br /> 1635 CONCORDIA ST <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 gran[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."I'his 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 /> suspendcd for a period of 180 days at any time after work has commenced. <br /> 'ihe applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State E3uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> / / D 7/ o� / <br /> Applicant Permitee Signature Date <br /> Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />