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. CITY OF ORONO * Z 0 1 5 - 0 0 4 8 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/27/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3865 BAYSIDE RD <br /> PIN : OS-117-23-23-0008 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.203 <br /> : LOT 064 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-OTHER <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATIOI�i : $ 992.00 <br /> NOTE: REPAIR ROOF SLOPE <br /> APPLICANT PERMIT FEE SCHEDULE 4330 <br /> STATE SURCHARGE(VALUATION) 0.50 <br /> NEW TOWN EXTERIORS MISC FEE 0.00 <br /> Minnesota State License#: BUIL-679621 <br /> TOTAL 43.80 <br /> Payment(s) <br /> CHECK 3042 43.80 <br /> OWNER <br /> DIANIS,DAVID <br /> 3865 BAYSIDE 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 /> no[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 18 ime after work has commenced. <br /> The applicant is r si le for assuri all required inspections are <br /> requested' nformance with the te Building Code. _is permit may be <br /> revoke y for due c <br /> , �-Z7 / /S <br /> Applicant P mitee Signature Date Issua Signature Date <br />