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CITY OF ORONO PERMIT NO.: 2010-00775 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUED: 08/30/2010 <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1485 LONG LAKE BLVD <br /> PIN : 35-118-23-22-0001 <br /> LEGAL DESC : UNPLATTED 35 1 18 23 <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 : $ 10,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 191.75 <br /> MIDWEST ROOFING STATE SURCHARGE(VALUATION) 5.00 <br /> 6541 SYCAMORE CT N TOTAL 196.75 <br /> MAPLE GROVE, MN 55369- <br /> (763)427-9696 <br /> Minnesota State License#: 20637010 <br /> OWNER <br /> GREENLEY, KURTIS <br /> 1485 LONG LAKE BLVD <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> [he approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and docs <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 within 180 days of the date of issuance,or if construction is <br /> suspended�o period of 180 days at any time after work has commenced. <br /> The applicant�responsible for assuring all required inspections are <br /> requested in conforma ce with the State Building Code.This permit may be <br /> ievoked at ar�j�time or due cause. �i <br /> �' �C. � � ? c� � t G) �� ' _ � i L�1C,ta7 � ��_� �C' _`�CU <br /> App 'cant Permitee Signature Date Issued By Si nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />