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. . <br /> CITY OF ORONO PERM�T No.: 2oii-oo3�� <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE [Ss[1En: 06/07/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 81 HACKBERRY HILL <br /> PIN : 33-118-23-44-0014 <br /> LEGAL DESC : DANIELS LONG LAKE HEIGHTS <br /> : LOT 008 BLOCK 002 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : THREE SEASON PORCH <br /> ACTIVITY : 434-RESIDENT[AL <br /> VALUATION : $ 10,000.00 <br /> NOTE: SEPERA"CE PF,RMITS REQUIRED: ELECTRICAL(STATG) <br /> ADVANCED PLAN REVIEW WAS PAID ON PGRMIT#201 I-00375 <br /> APPLICANT PERMIT FEE SCHEDULE 191.75 <br /> MEASUREED BY THE POUND CONSTRUCTION STATE SURCHARGE(VALUATION) 5.00 <br /> 9135 PIONEER TR TOTAL 196.75 <br /> GREENFIELD, MN 55357- <br /> (763)443-9510 PAID WITH CC# 8534 <br /> OWIVER <br /> STANKEVITZ, GEOFFREY&JENNIFER <br /> 81 HACKBERRY H[LL <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 specifica[ions,applicable City approvals,and the <br /> State[3uilding Code. 'I'his permit is for only the work described and does <br /> not grant pennission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specitied hereia 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 a[any[ime aRer work has commenced. <br /> 1'he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the tate Building Code.This permit may be <br /> revoked any tim for ue ause. <br /> ✓ , 6 � '7 � � � � �� <br /> Applicant Permitee Signature Date Issu d y Signature Datc <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />