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CITY OF ORONO PERMIT NO.: 2010-00247 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 04/21/2010 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> REPRINTED ON 4/21/2010 <br /> ADDRESS 3700 TOGO RD <br /> PIN 17-117-23-31-0025 <br /> LEGAL DESC TOWNSITE OF LANGDON PARK <br /> LOT 003 BLOCK 010 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ROOFING-ASPHALT �1q <br /> ACTIVITY 102-SINGLE FAM USES, CHED O/SS �� J <br /> VALUATION $ 1,200.00 <br /> APPLICANT PERMIT FEE SCHEDULE 47.75 <br /> PLYMOUTH ROOFING&INSULATION STATE SURCHARGE(VALUATION) 0.60 <br /> 17525 CTY ROAD 24 <br /> PLYMOUTH,MN 55447 MISC FEE 0.00 <br /> (763)473-3397 TOTAL 48.35 <br /> Minnesota State License#: 5358 <br /> OWNER <br /> FACKLER, SUZANNE <br /> 3700 TOGO RD <br /> WAYZATA,MN 55391- <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 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 /> The applicant is responsible for assuring all required inspections are <br /> requested)'m conformance with the State Building Code.This permit may be <br /> revo e t an im r d ca e. r� <br /> Applic t Perrnitee Signature Date Issued By—Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />