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� . <br /> CITY OF ORONO PERMIT NO.: 2011-00245 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE [ss[1ED: 04/28/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 776 BROWN RD N <br /> PI IV : 34-I 18-23-1 1-0001 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1275 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PRO{'ERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 41,400.00 <br /> NOTE: RESIDE <br /> APPLICANT PERMIT FEE SCHEDULE 595.75 <br /> CRAFTSMAN'S CHOICE, [NC. STATE SURCHARGE(VALUATION) 20.70 <br /> 26219 FREMONT DRIVE#105 <br /> ZIMMERMAN, MN 55398- MAIL-IN FEE 2.00 <br /> (763)6�3-1390 TOTAL 618.45 <br /> Minnesota State License#: 20384780 <br /> OWNER <br /> BARBARA LUIKENS, RICHARD BENSON/ <br /> 776 BROWN RD N <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> l he work for wh�ch this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State 13uilding 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 bc compicd with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within I 80 days oY the date of issuance,or if construction is <br /> suspended lor a periud of 180 days at any time after��rork has commenced. <br /> "l�he applicanl is responsible tbr assuring all required inspections are <br /> requcsted in conformance with thc State Quilding Code.This permit may be <br /> revok at any time for due cause. <br /> ' �a��� � � �/ <br /> � Ap icant ennitee S��nature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />