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CITY OF ORONO PERMIT NO.: 2010-00821 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUED: 09/10/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2565 COUNTRYSIDE DR <br /> PIN : 04-117-23-11-0011 <br /> LEGAL DESC : COUNTRYSIDE MANOR 2ND ADDN <br /> : LOT 001 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : ROOFING-CEDAR <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 20,000.00 <br /> �_. <br /> APPLICANT PERMIT FEE SCHEDULE 339.25 <br /> ALLSTAR CONSTRUCTION <br /> 5145 INDUSTRIAL ST STATE SURCHARGE(VALUATION) 10.00 <br /> SUITE 103 TOTAL 34925 <br /> MAPLE PLAIN, MN 55359 <br /> (763)479-8700 <br /> Minnesota State License#: 20631574 <br /> OWNER <br /> MICH, MR. & MRS. <br /> 2565 COUNTRYSIDE DR <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> l he work for«hich this pemiit is issued shall be performcd according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. "l�his permit is for only the work described and does <br /> not grant permission for additional or rclated work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compicd with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 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 responsible for assuring all required inspections are <br /> requeste � contor ance wit he State E3uilding Code.This permit may be ,/�/ <br /> re oked t any tim or ca ��/�� <br /> / /.� / f� r � l� � � ^G����l^� //� — /�1 / <br /> L � � /�' 7� <br /> Applicant Permitee,ignature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />