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. CITY OF ORONO * 2 0 1 6 - 0 1 1 9 9 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 09/26/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1965 COUNTRY CLUB RD <br /> P[N : 27-118-23-42-0020 <br /> LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN <br /> : LOT 002 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : REPAIR <br /> ACTIVITY : O/S BUILDING-LINDEFINED <br /> VALUATION : $ 29,800.00 <br /> NOTF,: TREE DAMAGE/REPAIR ROOF <br /> APPLICANT PERMIT FEE SCHEDULE 490.12 <br /> STATE SURCHARGE(VALUATION) 14.90 <br /> FOSS EXTERIORS LLC TOTAL 505.02 <br /> 1891 SANDBAR CIRCLE Payment(s) <br /> WACON[A, MN 55387 CHECK 16000 505.02 <br /> (612)229-8619 <br /> Minnesota State License#: BUIL-BC 438042 <br /> OWNER <br /> CONNER, MICHAEL&PATRICIA <br /> 1965 COUNTRY CLUB RD <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shail be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additionai 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 beeome 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 required inspections are <br /> requested in confor e with the State Building Code.This permit may be � <br /> revoked at any tin for�e cause. � <br /> � <br /> _„� .' <br /> '� _ 2�;' I� �� � ��� � <br /> Appli Grmit e ' ture � � Date �� Issued B gnature Date <br /> �� <br />