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CITY OF ORONO �2 0 1 4 — 0 1 1 1 2 * <br /> � 2750 KELLEY PARKWAY DAT[? ISSUED: 09/30/2014 <br /> . ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS ; 3577 LIVINGSTON AVE <br /> PIN : 17-117-23-43-0049 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 009 BLOCK 004 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -OTHER <br /> ACTNITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 5,000.00 <br /> NOTE: AFTER THE FAC"f PERMIT FOR A STEGI, ROOF <br /> APPLICANT PERMIT FEE SCHEDULE I 18.00 <br /> STATE SURCHARGE(VALUATION) � 2.50 <br /> DHM HOMES LLC MISC FEE 118.00 <br /> 1513 CAMDEN WOODS TERRACE TOTAL 238.50 <br /> ST CLOUD, MN 56301- <br /> Payment(s) <br /> CHECK 8i60 238.50 <br /> OWIVER <br /> HANNEMAN, DUSTIN <br /> 3577 LIVINGSTON AVE <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for�vhich this pennit is issucd shall be peribrmed accordin;tu <br /> the approved plans and specifications.applicable Cit��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�vork which requires separate <br /> permits. All provisions of laws and ordinances governing this rype ot�work <br /> shall be compied with whether or not specified herein 'I'his 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��ark has commenced. <br /> �he applicant is responsible for assuring all required inspections are <br /> requested in confonnance with the State Building Code This permit inay be <br /> revoked at any time for due cause ��-�✓ <br /> � � � � � <br /> � � D� � <br /> Ap�7lica e 'e Signature ate Issucd E�� Signature Date <br />