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� CITY OF ORONO * 2 0 1 4 - PJ P1 8 S 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/13/2014 <br /> l ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3360 SHOREL]NE DR <br /> PIN : 17-117-23-44-0101 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 005 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOF[NG-OTHER <br /> ACTNITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 6,100.00 <br /> NOTI?: S�fF;EL ROOF <br /> APPLICANT PERMIT FEE SCHEDULE 147.50 <br /> STATE SURCHARGE(VALUATION) 3.05 <br /> Navarre Service Station TOTAL I50.55 <br /> KOEHNEN, LEROY Payment(s) <br /> 3360 SHORELINE CHECK 19249 150.55 <br /> NAVARRE, MN 55392- <br /> OWNER <br /> Navarre Service Station <br /> KOEHNEN, LEROY <br /> 3360 SHORELINE <br /> NAVARRE, MN 55392- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfonned according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> Statc Building Code. This permit is for only thc 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 /> eommenced 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 assuri all required inspections are <br /> requested in confornia ce with the Stat� Building Code.This permit may bc <br /> revoked at any tim or ue cause. <br /> �� i <br /> �� � <br /> i <br /> � / / <br /> . �- <br /> � �,�2 �Z <br /> Applicant Per ' ee gn ture Date Issued Bv Si ture Date <br />