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� � � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 2 - 0 0 4 8 4 * <br /> DATE ISSUED: 06/04/2012 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 85 LUCE LINE RIDGE <br /> PIN : 31-118-23-34-0005 <br /> LEGAL DESC : PAINTERS CREEK <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 40,000.00 <br /> NOTE: REMOVE STUCCO/SIDING AND REPLACE WITH ALL SIDING <br /> APPLICANT pERMIT FEE SCHEDULE 574.25 <br /> SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 20.00 <br /> 12366 RIVER RIDGE ROAD <br /> BURNSVILLE,MN 55337- MAIL-IN FEE 2.00 <br /> (612)861-7000 TOTAL 596.25 <br /> Minnesota State License#:20593656 PAID WITH CC# 1521 <br /> OWNER <br /> BALZER,BARRY&JACQUELINE <br /> 85 LUCE LINE <br /> MAPLE PLAIN,MN 55359- <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 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 /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due ca�. <br /> � ^ `�/ � /l � 4�/ "Z� / l02-'� <br /> Applicant Permitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />