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1 ' <br /> CITY OF ORONO PERMIT I�O.: 2010-00169 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 553SC- DATE ISSUED: 03/25/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 945 COX FARM RD <br /> PIN : 27-118-23-33-0015 <br /> LEGAL DESC : SHADOWOOD FARM <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 55,000.00 <br /> NO"CE: REPI,ACF,ALL WINDOWS AND SIDING <br /> APPL[CANT pERMIT FEE SCHEDULE 719.25 <br /> HOME VALUE IMPROVEMENTS STATE SURCHARGE(VALUATION) 27.50 <br /> 13756 REIMER DR <br /> MAPLE GROVE, MN 5531 1- TOTAL 746.75 <br /> (763)425-9500 <br /> Minnesota State License#: 20464927 <br /> OWNER <br /> SANFORD, MATTHEW <br /> 945 COX FARM RD <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> 7�he work for which this permit is issucd shall be performed acwrding to <br /> the approved plans and specifications,applicable City approvals,and the <br /> S[ate Building Code. This permit is for only the work described and does <br /> not grant permission tor additional or related work which requires separate <br /> pennits. All provisions of laws and ordinances goveming 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 fo a period of 18 ays at any�time after work has commenced. <br /> The applica t is responsib f suring all required inspections are <br /> requ i onformance t t�ie State Building Code.This permit may be <br /> rev �ed any time t�r e ause. <br /> (j`� � -y�c �� 2 �� !� � r- <br /> icantPermitee Signature Date � � � ��� � � ��� <br /> Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />