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, CITY OF ORONO PERMIT NO.: 2011-00859 <br /> - 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 08/15/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 315 CRESTVIEW AVE <br /> PIN : OS-117-23-14-0030 <br /> LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT 000 BLOCK 005 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTIVITY : O/S BUILDING -LJNDEFINED <br /> VALUATION : $ 1,200.00 <br /> APPLICANT PERMIT FEE SCHEDULE 47.75 <br /> ENGEBRITSON, REGINA <br /> 315 CRESTVIEW AVE STATE SURCHARGE(VALUATION) 0.60 <br /> LONG LAKE, MN 55356- TOTAL 48.35 <br /> PAID WITH CASH 48.35 <br /> OWNER <br /> ENGEBRITSON, REGINA <br /> 315 CRESTVIEW AVE <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The wark 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 separa[e <br /> permits. 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 for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all requircd inspections are <br /> requested in conformance with[he State Building Code.This permit may be <br /> revo at any time for du cause. <br /> �/ �1��/ �� / / <br /> App�c ermitee Signat e Date [ssued By Sig ture ate <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />