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" CITY OF ORONO PERMIT NO.: 2011-00327 <br /> . 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEu: OS/12/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1003 COX FARM RD <br /> PIN : 27-118-23-33-0014 <br /> LEGAL DESC : SHADOWOOD FARM <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> COIYSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 17,995.00 <br /> NOTE: TEAR OFF REROOI'-ASPHALT SH[NGLL'S <br /> �,;�,,;-�-,�.� <br /> �u�� ��� � <br /> ?o�`����..7 <br /> APPLICANT PERMIT FEE SCHEDULE 309.75 <br /> ALL SEASON REMODELING& EXTERIORS STATE SURCHARGE(VALUATION) 9.00 <br /> 17344 PUMA ST. NW TOTAL 318.75 <br /> RAMSEY, MN 55303 <br /> (612)221-3318 <br /> Minnesota State License#: 20388311 <br /> OWNER <br /> HARTLEIN, DANIEL&JULIA <br /> 1003 COX FARM RD <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The�vork for�vhich this permi[is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Buildinc Code. This pem�it is for only the work described and does <br /> not grant pennission for additional or rclated work which requires separate <br /> pennits. All provisions of laws and ordinances governing Uiis type of work <br /> shall be compied with whether or not specitied 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 for a p no�Yof 18,0 days at any time after work has commenced. <br /> The applic t is�sg.bnsibl for assuring all required inspections are <br /> requested i�onfonr�ance�ith die State E�uilding Code.This permit may be <br /> revoked_, a�y lintie fOr c}ue cause. <br /> _� ; <br /> �, .`l�;(.y���C L�-- i i i i <br /> Ap icant ermitee Signature Date Issued By Si ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . <br />