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� CITY OF ORONO PERMIT NO.: 2oiaoo66a <br /> � 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 08/OS/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 333 HOLLANDER RD <br /> PIN : 25-118-23-43-0005 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1281 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-CEDAR <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 17,000.00 <br /> APPLICANT pERMIT FEE SCHEDULE 295.00 <br /> ABELARD CONSTRUCTION STATE SURCHARGE(VALUATION) 8.50 <br /> 6200 SHINGLE CREEK PARKWAY <br /> BROOKLYN CENTER,MN 55430 MISC FEE 0.00 <br /> (763)503-6610 TOTAL 303.50 <br /> Minnesota State License#:20351322 <br /> OWNER <br /> VACEK,MR.&MRS. <br /> 333 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 nuil and void if cons[ruction 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 with the State Building Code.This permit may be <br /> revoke at any ti e for cause. <br /> � `� " l l �� 7 r�v'� <br /> / / <br /> Ap lican itee Signature Date Issue By S' ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED ABO . <br />