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' CITY OF ORONO PERMIT NO.: 2011-00537 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE �SSUEn: 06/28/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 275 CRESTVIEW AVE <br /> PIN : OS-117-23-14-0023 <br /> LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT 006 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 2,000.00 <br /> NOTE: TGAR OFF RGROOF-ASPHALT <br /> APPLICANT PERMIT FEE SCHEDULE 73.75 <br /> HANSON, HAROLD STATE SURCHARGE(VALUATION) 1.00 <br /> 275 CRESTVIEW AVE <br /> LONG LAKE, MN 55356 TOTAL 74J5 <br /> OWNER <br /> HANSON, HAROLD <br /> 275 CRESTVIEW AVE <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 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 rela[ed 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 specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of[he date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> Thc applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked t any time for due cause. <br /> ��7�''/ ✓��z 't�'sl�� � �- �7��J �/l O/ � � <br /> ��� Applicant Permitee Signature Date Is d By Signature Dat� <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />