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� ' CITY OF ORONO PERMIT NO.: 2011-00341 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 05/13/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 577 PARK LA <br /> PIN : 06-117-23-41-0046 <br /> LEGAL DESC : MINNETONKA SUMMIT PARK <br /> : LOT 012 BLOCK 006 <br /> PERMIT TYPE : ZONING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : UNDEFINED <br /> NOTE: DESCRIPTION OF PROJECT-LOCK BOX PLACED IN 0-75 FOOT ZONE. <br /> APPLICANT STRUCTURE PERMIT 50.00 <br /> TEELE&AMY SULLIVAN-TEELE,BRENT <br /> 577 PARK LA ENGINEERING REVIEW COSTS <br /> LONG LAKE,MN 55356 TOTAL 50.00 <br /> OWNER <br /> TEELE&AMY SULLIVAN-TEELE,BRENT <br /> 577 PARK LA <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 wnstruction 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 /> ;. ..����1,G��lp �l/�v l // �l �� // <br /> � _Applicant Permite ignature Date Issu By Signature Date <br /> a <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br /> t ' <br />