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CITY OF ORONO PERMIT NO.: 2010-00843 <br /> ° ` 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/15/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1925 COUNTRY CLUB RD <br /> PIN : 27-118-23-43-0002 <br /> LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN <br /> : LOT 003 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOF[NG -ASPHALT <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 8,500.00 <br /> NOTE: TEAR OFF REROOF-ASPHALT SFiINGLES <br /> APPLICANT PERMIT FEE SCHEDULE 177.00 <br /> FREDENN, GLENN & LOIS STATE SURCHARGE(VALUATION) 5.00 <br /> 1925 COUNTRY CLUB RD <br /> LONG LAKE, MN 55356 TOTAL 182.00 <br /> PAID WITH CC# 8106 <br /> OWNER <br /> FREDENN, GLENN& LOIS <br /> 1925 COUNTRY CLUB RD <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> "I'hc work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,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 becomc null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended Yor 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 i conformance with the State Building Code.This permit may be <br /> revoke ny tim r dufe rau�- <br /> �,� � �.�'1s 2t"�o �/��C� <br /> Applicant Permitee Signature ate I s d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />