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• � CITY OF ORONO * Z 0 1 4 — 0 0 8 3 4 * <br /> 2750 KELLEY PARKWAV DATE ISSUED: 08/13/2014 <br /> ORONO, MN 553_56- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1925 COUNTRY CLUB RD <br /> PIN : 27-118-23-43-0002 <br /> LECAL DESC : LONG LAKE COUNTRY CLUB ADDN <br /> : LO"I' 003 BLOCK 003 <br /> PF,RMIT TYPE : ADDITION / REMODEL/ REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/ REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 4,000.00 <br /> '��O"l�l�:: SH�D <br /> APPLICANT PERMIT FEE SCHEDULE 103.25 <br /> STATE SURCHARGE(VALUATION) 2.00 <br /> FREDENN, GLENN & LOIS TOTAL 105.25 <br /> 1925 COUNTRY CLUB RD Payment(s) <br /> LONG LAKE, MN 55356- CREDI"I'CARD 8613 105.25 <br /> OWNER <br /> FREDEEN, GLENN & LO(S <br /> 1925 COUNTRY CLUB RD <br /> LONG LAKE, MN 55356- <br /> AGNEEMF,NT AND SWORN STATEMENT <br /> l�hc work for���hich this permit is issued shall be perlormed according to <br /> the approvcd plans and specifications,applicable City approvals,and the <br /> State Building Code. 'fhis pennit is for only the work dcscribed and does <br /> not grant pennission for additional or related�vork N�hich requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified hcrein."t�his permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 da�s oY the date of issuance,or iC construction is <br /> suspcnded 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 /> requesled in con�i�rmance vith[he State E3uildin,Code.This permit may bc <br /> revoked at a � time f r d c cause. <br /> /' �i <br /> /, ���}.-,,-iC-�'J---_- � � <br /> Applicant Permitce. ignature Date Issued [ Signaturc Date <br />