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CITY OF ORONO PERMIT NO.: 2009-00651 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 10/05/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 3740 TOGO RD <br /> PIN : 17-117-23-31-0023 <br /> LEGAL DESC TOWNSITE OF LANGDON PARK <br /> LOT 000 BLOCK 010 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ROOFING-ASPHALT <br /> ACTIVITY O/S BUILDING-UNDEFINED <br /> VALUATION $ 10,000.00 <br /> NOTE: TEAR OFF REROOF <br /> APPLICANT PERMIT FEE SCHEDULE 191.75 <br /> KELLINGSTON LLC STATE SURCHARGE(VALUATION) 5.00 <br /> 7875 HYACINTA AVE <br /> VICTORIA,MN 55386- " -- MISC FEE 0.00 <br /> (612)490-4626 TOTAL 196.75 <br /> Minnesota State License#:20630759 <br /> _OWNER.. <br /> GLASSCO,GEORGE&JUANITA <br /> 3740 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 in conforman wi a State Building Code.This permit may be <br /> revoked ti r d use. <br /> e4 A9105/ 0 <br /> Applicant Date Signature Date Iss e y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OthER THAN DESCRIBED ABOVE. <br />