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� � CITYOFORONO * 2016 - 00908 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/18/2016 <br /> ORONO, MN 55356- , <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1669 NORTH FARM RD <br /> PIN : 27-118-23-44-0008 <br /> LEGAL DESC : THE FARM AT LONG LAKE <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTI VITY : 434-RESIDENTIAL <br /> VALUATION : $ 115,000.00 <br /> NOTE: MASTER&GUEST BED/BATH REMODEL,WINDOWS,DOORS <br /> APPLICANT PERMIT FEE SCHEDULE 1,204.42 <br /> STATE SURCHARGE(VALUATION) 57.50 <br /> STREETER&ASSOCIATES TOTAL 1,261.92 <br /> 18312 MINNETONKA BLVD payment(s) <br /> WAYZATA, MN 55391 CHECK 103959 1,261.92 <br /> (952)346-2499 <br /> Minnesota State License#: BUIL-BC-001380 <br /> OWNER <br /> BEENDERS&PETERMONTGOMERIE,ANTOINETTE <br /> 1669 NORTH FARM RD <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 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 l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer work has commenced. <br /> The applicant is respons�ble�Por assuri�g all required inspections are <br /> requested in conformande with the S�ate� ilding Code.This permit may be <br /> revoked at ny time for due cause. ` ;'� d�'� <br /> ��� � � '� �' � � �,A ��� �.�`��1� <br /> . c.' �; . i� �:. ���- �- � � l � � �lF <br /> Applicant Pe itee Signa� e Date Issued By Signature Date <br />