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` "' � CITY OF ORONO PERMIT NO.: 20o9-oos2� <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 1U23/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3360 SHORELINE DR <br /> PIN : 17-117-23-44-0101 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 005 BLOCK 003 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : FUEL STORAGE <br /> VALUATION : $ 10,998.67 <br /> NOTE: REMOVE UNDERGROUND WASTE OIL STORAGE TANK <br /> APPLICANT <br /> MECHANICAL 137.47 <br /> ROLLIES SALES& SERVICE STATE SURCHARGE MECH(VALUATION) 5.50 <br /> HWY 27 WEST TOTAL 142.97 <br /> OSAKIS,MN 56360 <br /> (320)859-4811 <br /> OWNER <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 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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 /> 1'he applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for d e cause. <br /> �,[11;1;l� //l 7j�l � 9' / l ,3/6 <br /> Apphcant Permitee Signature Date Is ed By ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />