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� <br /> . CITY OF ORONO PERMIT NO.: 2010-00803 <br /> . 2750 KELLEY PARKWAY <br /> ' ORONO, MN 55356- DATE ISSUED: 09/07/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1050 COX FARM RD <br /> PIN : 27-1 18-23-32-0017 <br /> LEGAL DESC : SHADOWOOD FARM <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 17,000.00 <br /> APPLICANT <br /> PERMIT FEE SCHEDULE 295.00 <br /> TIMBERLINE EXTERIORS, INC. STATE SURCHARGE(VALUATION) 8.50 <br /> 7026 E FISH LAKE ROAD <br /> MAPLE GROVE, MN 55311- TOTAL 303.50 <br /> (651)329-6916 <br /> Minnesota State License#:20633887 <br /> OWNER <br /> ZONER, ERIC& DIANN <br /> 1050 COX FARM RD <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,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 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 become null and void if construction authorized is not <br /> commenced within ]80 days of the date of issuance,or it�construction is <br /> �uspended 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 /> requested in conf rmance with t�'e State[3uilding Code.This permit may be <br /> revoked at � me,,for due � se. ��� <br /> G e/` G `� � � ;��` l_ � �� i/! ��� , � /(. <br /> �'�- � / <br /> Ap i P�rmitee S g re Date Issued By Sig ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />