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' � � CITY OF ORONO PERMIT NO.: 2011-01336 <br /> , � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE tssUED: 1U04/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4099 HIGHWOOD RD <br /> PIN : 07-117-23-44-0012 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 014 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> VALUATION : $ 10,000.00 <br /> NOTE: I2E'I'AINING WALL AND STAIRS <br /> APPLICANT PERMIT FEE SCHEDULE 191.75 <br /> SERAN III,ALONZO STATE SURCHARGE(VALUATION) 5.00 <br /> 4099 HIGHWOOD RD TOTAL 196.75 <br /> MOUND, MN 55364- <br /> OWNER <br /> SERAN III, ALONZO <br /> 4099 HIGHWOOD RD <br /> MOUND, MN 55364- <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 pennission for additional 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 specitied herein.'1'his permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 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 /> "rhe applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoke � ti� for d ause. <br /> / <br /> / / / / G� <br /> Applicant Per ' e ignature Date Iss e By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />