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� CITY OF ORONO PERMIT NO.: 2010-00974 <br /> �` 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISsuEv: 10/l U2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 315 HOLLANDER RD <br /> PIN : 25-118-23-43-0014 <br /> LEGAL DESC : HOLLY ACRES <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-CEDAR <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 30,000.00 <br /> NOTE: TEAR OFF REROOF-CEDAR SHAKES <br /> APPLICANT pERMIT FEE SCHEDULE 466.75 <br /> PERSONAL PRIDE CONSTRUCTION STATE SURCHARGE(VALUATION) 15.00 <br /> 421 FRANCE AVE N TOTAL 481.75 <br /> GOLDEN VALLEY,MN 55422- <br /> (763)535-4947 PAID WITH CC# 1192 <br /> Minnesota State License#:20330460 <br /> OWNER <br /> FAGRE,NATHAN&CONSTANCE <br /> 315 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 /> pertnits. 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 required inspections aze <br /> requested in conformance wiffi the State Building Code.This permit may be <br /> revoked t�for due cause. <br /> \ " <br /> y -= /U l/� 11� <br /> Applicant Permitee Signature Date �� � � � <br /> Issu By ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />