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CITY OF ORONO PERMIT NO.: 2009-00454 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 08/10/2009 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4045 WATERTOWN RD <br /> PIN : 31-118-23-41-0003 <br /> LEGAL DESC : UNPLATTED 31 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ACCESSORY STRUCTURE-TEMPORARY <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : TENT <br /> VALUATION : $ 0.00 <br /> NOTE: DATE(S)TENT(S)WILL BE UP:09/11/09 THROUGH 09/12/09-(2)TENTS <br /> SIZE OF TENT(S): <br /> APPLICANT <br /> PERMIT FEE SCHEDULE 50.00 <br /> KELLENBERGER,DANA&GREGORY STATE SURCHARGE(VALUATION) 1.00 <br /> 4045 WATERTOWN RD <br /> MAPLE PLAIN,MN 55359 MAIL-IN FEE 4.00 <br /> TOTAL 55.00 <br /> OWNER <br /> KELLENBERGER,DANA&GREGORY <br /> 4045 WATERTOWN RD <br /> MAPLE PLAIN,MN 55359 <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 Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />