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. . <br /> CITY OF ORONO PERMIT NO.: 2010-01111 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 1 U16/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1090 LOMA LINDA AVE <br /> PIN : 08-117-23-23-0010 <br /> LEGAL DESC : LOMA LINDA <br /> : LOT 009 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 5,025.00 <br /> NOTE: TEAR OFF REROOF-ASPHALT SHINGLES <br /> APPLICANT pERMIT FEE SCHEDULE 132.75 <br /> CMR CONSTRUCTION STATE SURCHARGE(VALUATION) 5.00 <br /> 8400 NORMANDALE BLVD#920 TOTAL 137.75 <br /> BLOOMINGTON,MN 55437- <br /> (763)39&7663 <br /> Minnesota State License#:20635871 <br /> OWNER <br /> ICLOCEK,RICHARD&KIM <br /> 1090 LOMA LINDA AVE <br /> MOUND,MN 55364 <br /> AGREEMENT A1vD SWORN STATEMENT <br /> The work for which this permit is issued shail 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 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 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 /> reque�, orrrtazt�e�wrE4�.ille State Building Code.This permit may be <br /> rev6�ke t� e for due e.���` <br /> � - _ _ i/ � /6 � /a � � l� <br /> Applicant Permitee Signature Date Is e By Sig ure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />