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� CITY OF ORONO * Z 0 1 S - 0 0 5 3 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/04/2015 <br /> ��a ORONO, MN 55356- <br /> �\� 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS . 65 SHORELINE DR <br /> PIN : 20-117-23-12-0033 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1422 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-OTHER <br /> ACTNITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 19,000.00 <br /> NOTE: EPDM-FLAT ROOF <br /> APPLICANT PERMIT FEE SCHEDULE 340.77 <br /> STATE SURCHARGE(VALUATION) 9.50 <br /> NOKOMIS ROOFING CO. TOTAL 350.27 <br /> 5053 36TH AVE S Payment(s) <br /> MINNEAPOLIS, MN 55417- CHECK 1325 350.27 <br /> Minnesota State License#: BUIL-BC583383 <br /> OWNER <br /> Shoreline Center <br /> REALTY LLC,NAVARRE <br /> PO BOX 3 <br /> MINNETONKA BEACH,MN 55361- <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 sepazate <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 d at any time after work has commenced. <br /> The applicant is responsible�br assu � g all required� s are ` <br /> requested in conformance th the St e Buildi ode.This, imit may be <br /> rev d at any time for du cause. -'c�_� • ��'� �`� <br /> �� �-n( / _. <br /> � , L� <br /> ��.- — V`_"��� �..�'��i�'l 7 / ( �� /�. <br /> Applic t ermitee S nature Date Issued By Signature Date <br />