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1 ' �� CITY OF ORONO PERMIT NO.: 2010-00858 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISsuEu: 09/20/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4450 FOREST LAKE LANDING <br /> PIN : 07-117-23-24-0016 <br /> LEGAL DESC : TONKAVIEW GARDENS <br /> : LOT O11 BLOCK 000 <br /> PERMIT TYPE : M[NOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BU[LDING - UNDEFINED <br /> VALUATION : $ 4,000.00 <br /> NOTL: "I'EAR OFF REROOF-ASPHALT SHINGLES <br /> APPLICANT pERMIT FEE SCHEDULE 103.25 <br /> WOLFF, ROBERT&VELMA STATE SURCHARGE(VALUATION) 5.00 <br /> 4450 FOREST LAKE LANDING TOTAL 10825 <br /> MOUND, MN 55364 <br /> OWNER <br /> WOLFF, ROBERT&VELMA <br /> 4450 FOREST LAKE LAND[NG <br /> MOUND, MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> Che 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 related work which requires separate <br /> permits. All provisions of laws and ordinances governing this q�pe 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 period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requeste ' c nfo(mance w.�th t Stat Buildi g Code.This pennit may be <br /> revoke at y ti �e for du a � <br /> � � � !� / / <br /> App icant Permitee Signature Date Issued 13y Signature Datc <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />