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� • • CITY OF ORONO <br /> 2750 KELLEY PARKWAY * Z 0 1 4 - 0 0 7 9 5 * <br /> DATE ISSUED: 07/28/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1586 LONG LAKE BLVD <br /> PIN : 26-118-23-33-0030 <br /> LEGAL DESC : ALBEES LONG LAKE ADDN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 5,850.00 <br /> NOTE: RESIDE WITH WINDOW&DOOR WRAPS,SOFFIT AND FASCIA. <br /> APPLICANT PERMIT FEE SCHEDULE 132.75 <br /> STATE SURCHARGE(VALUATION) 2.93 <br /> PURPOSE DRIVEN RESTORATION TOTAL 135.68 <br /> 18334 JOPLIN ST.NW Payment(s) <br /> ELK RIVER,MN 55330- <br /> (763)633-4737 CREDIT CARD 4800 135.68 <br /> Minnesota State License#: BUIL-20636655 <br /> OWNER <br /> GRONWALL,-STEVEN <br /> 1586 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 /> 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 separate <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 /> requested in conformance with the State Buifding Code.This permit may be <br /> revoked at any time for due cause. <br /> C � + - / �/ <br /> Applicant Pe itee Signature Date Iss d By Signature Date � <br />