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CITY OF ORONO I*� IL 11 L ell II 14 51 I*I'' <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/25/2015 <br /> , ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 565 OLD CRYSTAL BAY RD S <br /> PIN : 04-117-23-31-0010 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.230 <br /> : LOT 023 BLOCK 000 <br /> PERMIT TYPE : MIN R ALTERATIONS <br /> PROPERTY TYPE : RESI ENTIAL <br /> CONSTRUCTION TYPE : DO S <br /> ACTIVITY : 0/S UILDING-UNDEFINED <br /> VALUATION : $ 1,7 0.00 <br /> NOTE: REPLACE WINDOW&DOOR EXISTING OPENING <br /> 1 <br /> APPLICANT PERMIT FEE SCHEDULE 67.17 <br /> STATE SURCHARGE(VALUATION) 0.85 <br /> LEMKE,BRUCE&LINNE TOTAL 68.02 <br /> 565 OLD CRYSTAL BAY RD S Payment(s) <br /> LONG LAKE,MN 55356- CHECK 11628 68.02 <br /> OWNER <br /> LEMKE,BRUCE&LINNE <br /> 565 OLD CRYSTAL BAY RD S <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORI1 STATEMENT <br /> The work for which this permit is issued shall le performed according to <br /> the approved plans and specifications,applicle City approvals,and the <br /> State Building Code. This permit is for only a work described and does <br /> not grant permission for additional or related ork 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 iss ance,or if construction is <br /> suspended for a peed of 180 days at any tim after work has commenced. <br /> The applicant is res nsible for assuring all uired inspections are <br /> requested in confo ance with the State Buil ing Code.This permit may be 00 1//� <br /> revoked at any time for due cause. `Y <br /> ,.....,(A_ <br /> P / " - 9 /Zs/ /S <br /> /� <br /> Ap licant Permitee Signature . Date Issued By Signature Date <br />