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� �' CITY OF ORONO � <br /> 1 * 2 0 1 4 - 0 0 5 8 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/10/2014 <br /> ORONO,MN 55356- <br /> (952 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 310 HOLLANDER RD <br /> PIN : 25-118-23-43-0010 <br /> LEGAL DESC : HOLLY ACRES <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 6,478.00 <br /> NOTE: REPLACE(1)PATIO DOOR WITHIN EXISTING OPENING. <br /> APPLICANT PERMIT FEE SCHEDULE 147.50 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 3.24 <br /> 1920 COUNTY RD C. WEST MAIL-IN FEE 2.00 <br /> ROSEVILLE,MN 551]3 TOTAL 152.74 <br /> (612)502-4777 Payment(s) <br /> Minnesota State License#:BUIL-BC 130983 CREDIT CARD 8788 152.74 <br /> OWNER <br /> SIDMAN,JAMES&JOYCE <br /> 310 HOLLANDER RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall 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 additional or related work which requires sepazate <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 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 reyuired inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � (/ Y ���ii.G(�- �P l /a l I <br /> Applicant Permitee Sign ure at Issue y Signature Date <br />