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� , <br /> CITY OF ORONO PERMIT NO.: 2oos-oo22� <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 09/17/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1210 LOMA LINDA AVE " <br /> PIN : 07-117-23-41-0087 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 12,000.00 <br /> NOTE: <br /> REROOF/TEAR OFF <br /> APPLICANT pERMIT FEE SCHEDULE 221.25 <br /> MHR INC. STATE SURCHARGE(VALUATION) 6.00 <br /> 4685 NORTH SHORE DR. TOTAL 227.25 <br /> MOUND,MN 55364 <br /> (612)865-7511 <br /> Minnesota State License#:20112515 <br /> OWNER <br /> UDELL,DONALD&CAROLYN <br /> 1210 LOMA LINDA AVE <br /> MOiJND,MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> tF►e approved plans and specifications,applicable City approvals,and the <br /> State Buiiding Code. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires sepazate <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 within 180 days of the date of issuance,or if consiruction 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 t� r due cause. <br /> - ��? � �%'�/� C�u� 9��7 �D� <br /> Applicant Permitee Signature Date Issu d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB ABOVE. <br />