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,� , � CITY OF ORONO * 2 0 1 5 - 0 1 0 1 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/02/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 420 LAKEVIEW PKWY <br /> PIN : .T000126 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 19 BLOCK 3 <br /> PERMIT TYPE : SIGN <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : SIGN-FREE STANDING/MONUMENT <br /> VALUATION : $ 59,387.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE) <br /> ENTRANCE MONUMENTS <br /> APPLICANT SIGN PERMANENT 794.64 <br /> TOTAL 794.64 <br /> ELEMENTS,INC. Payment(s) <br /> 10044 FLANDERS CT NE CREDIT CARD 6261 794.64 <br /> HAM LAKE,MN 55304- <br /> (763)210-7747 <br /> OWNER <br /> Source Land Development Inc. <br /> 18215 45TH AVE N <br /> STE D <br /> PLYMOUTH,MN 55446- <br /> AGREEMENT AND SWORN STATEME1vT <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 dces <br /> not grant permission for additional or related work which requires separate <br /> permiu. All provisions of taws 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> C <br /> - �-�^ s� � � rs <br /> Applicant Permitee Signature Date Issued ignature Date <br />