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CITY OF ORONO PERMIT NO.: 2010-00131 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 04/30/2010 <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 795 OLD CRYSTAL BAY RD N <br /> PIN : 28-118-23-34-0003 <br /> LEGAL DESC : UNPLATTED 28 118 <br /> : LOT 000 BL•' 000 <br /> PERMIT TYPE : USER DEF �'+I <br /> PROPERTY TYPE : INSTITU ' ONA SCHOOL <br /> CONSTRUCTION TYPE : LAN I LTERATIO• 0-500 CU YDS) <br /> NOTE: TENNIS COURT REPLACEMENT <br /> APPLICANT LAND ALTERATION 50.00 <br /> 278,ORONO SCHOOL DIST NO. TOTAL 50.00 <br /> 795 OLD CRYSTAL BAY RD N <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> 278,ORONO SCHOOL DIST NO. <br /> 795 OLD CRYSTAL BAY RD N <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 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 cause. <br /> Applicant Permitee Signature Date 400 .r y/dr 11 / / / <br /> Issuj� . Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />