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1 <br /> CITY OF ORONO PERMIT NO.: 2009-00195 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 10/27/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1220 TONKAWA RD <br /> PIN : 08-117-23-42-0001 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.217 <br /> : LOT 009 BLOCK 000 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ENTRANCE MONUMENTS <br /> ACTIVITY : 329-STRUCTURES OTHER THAN BUILDINGS <br /> VALUATION : $ 7,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 147.50 <br /> STEINER&KOPPELMAN PLAN REVIEW 95.88 <br /> 18340 MINNETONKA BLVD <br /> DEEPHAVEN,MN 55391- STATE SURCHARGE(VALUATION) 3.50 <br /> (612)473-5435 MISC FEE 0.00 <br /> Minnesota State License#:3721 TOTAL 246.88 <br /> OWNER <br /> EBERTZ,MICHEAL <br /> 1220 TONKAWA RD <br /> LONG LAKE,MN 55356 <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 conformance with the State B 'ding Code.This permit may be <br /> revoke at time for se. <br /> i /D 12-7 / D <br /> A ermi a Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />