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CITY OF ORONO * 2 0 1 2 - PJ 0 3 1 9 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 04/24/2012 <br /> '. ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 405 NORTH ARM DR <br /> PIN : 06-117-23-32-0003 <br /> LEGAL DESC : UNPLATTED 06 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 14,500.00 <br /> NOTE: RE-ROOF CLUBHOUSE,CART BARN&MECHANIC BARN <br /> APPLICANT pERMIT FEE SCHEDULE 265.50 <br /> JENSEN CONSTRUCTION SERVICES LLC STATE SURCHARGE(VALUATION) 7.25 <br /> 2620 GRANGER LN TOTAL 272.75 <br /> MOiJND,MN 55364- <br /> (952)472-7223 PAID WITH CC# 3589 <br /> Minnesota State License#:20639601 <br /> OWNER <br /> Lakeview Golf of MTKA,Inc. <br /> 855 RED OAK LA <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 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 separate <br /> permits. All provisions of laws and ordinances goveming 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[he 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 /> revoked y time for due cause. <br /> .�. � <br /> / / <br /> A pli ant Permitee Signature Date Issued By ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED ABOVE. <br />