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� CITY OF ORONO <br /> 2750 KELLEY PARKWAY * z 0 1 7 - 0 0 9 0 2 * <br /> DATE ISSUED: 08/08/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2755 COUNTRYSIDE DR W <br /> PIN : 04-117-23-12-0017 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN <br /> : LOT 002 BLOCK 003 <br /> PERMIT TYPE : ACCESSORY STRUCTURE-TEMPORARY <br /> PROPERTY TYPE : RESIDENTIAL <br /> C01�ISTRUCTION TYPE : TENT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> NOTE: DATE(S)TENT(S)WILL BE UP: AUGUST 18,2017 <br /> SIZE OF TENT(S): 20 X 60 <br /> APPLICANT TENT-TEMPORARY 25.00 <br /> TLJNHEIM, RE&KA TOTAL 25.00 <br /> Payment(s) <br /> 2755 COUNTRYSIDE DR W CREDIT CARD 25.00 <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> TLINHEIM,RE&KA <br /> 2755 COUNTRYSIDE DR W <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 rype 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 l80 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 cause. <br /> � <br /> C � � �,�� � � �� � � 17 <br /> Applicant Permitee Signature �� Date � ssued By Signature �(.Q,J`j Date <br /> � U <br />