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CITY OF ORONO * 2 0 1 2 — 0 0 4 3 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/18/2012 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS .� : 1545 MINNIE AVE <br /> PIN � : 08-117-23-33-0066 <br /> LEGAL DESC : HICKORY HILL <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 2,000.00 <br /> NOTE: FIRE DAMAGE SOME INTERIOR AND SIDIDNG AND WINDOW IN THAT AREA <br /> APPLICANT pERMIT FEE SCHEDULE 73.75 <br /> JAMES BEDELL <br /> P.O.BOX 7101 STATE SURCHARGE(VALUATION) 1.00 <br /> MOUND,MN 55364 TOTAL 74.75 <br /> (952)454-7101 PAID WITH CC# 9386 <br /> OWNER <br /> The Return Homes LLC <br /> 2613 COMMERCE BLVD <br /> MOUND,MN 55364 <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 Ciry 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 /> suspeaded 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 du se. � <br /> Cc�.0'1 � � , � �J� l �o� <br /> Applicant Permitee Signa re Date ed By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />