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CITY OF ORONO PERMIT NO.: 2010-00142 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssUEn: 04/OU2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 525 LEAF ST <br /> PIN : OS-117-23-41-0020 � <br /> LEGAL DESC : STIELOWS ADDN � <br /> : LOT 012 BLOCK 001 ;. ��,� � <br /> PERMIT TYPE : ACCESSORY STRUCTURE� � <br /> PROPERTY TYPE : OTH Z� � ; . <br /> CONSTRUCTION TYPE : TENT ����'����� <br /> VALUATION : $ 0.00 <br /> NOTE: TENT PERMIT FOR A PIOTROWSKI WEDDING RECEPTION HELD ON 7/31/2010-EVENT WILL TAKE PLACE AT THE WOODS <br /> CHAPEL ON 525 LEAF STREET IN ORONO FROM 3:30 P.M.TO MIDNIGHT. SI"LE OF TENT IS 70 X 70 <br /> APPLICANT MISC FEE 25.00 <br /> J.S.M. INC. STATE SURCHARGE(VALUATION) 0.50 <br /> 3920 HILLCREST WAY <br /> DEEPHAVEN, MN 55331- TOTAL 25.50 <br /> OWNER <br /> J.S.M. INC. <br /> 3920 HILLCREST WAY <br /> DEEPHAVEN, MN 55331- <br /> AGREEMENT A1vD SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry 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 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 wi[hin 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 /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />