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� CITY OF ORONO PERMIT NO.: 2009-00313 <br /> � � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/12/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2450 COUNTRYSIDE DR <br /> PIN : 04-117-23-11-0004 <br /> LEGAL DESC : COUNTRYSIDE MANOR <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERAT[ONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 7,500.00 <br /> APPLICANT PERM[T FEE SCHEDULE 162.25 <br /> MIDWEST SIDING ROOFING & WINDOWS STATE SURCHARGE(VALUATION) 3.75 <br /> 6451 SYCAMORE CT N TOTAL 166.00 <br /> MAPLE GROVE,MN 55369- <br /> Minnesota State License#: 20010277 <br /> OWNER <br /> GRANDE, L KRETCHMAN& S <br /> 2450 COUNTRYSIDE DR <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. Ail provisions of laws and ordinances goveming 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 consVuction authorized is not <br /> commenced within 180 days of the date of issuance,or if construc[ion is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsiblc for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> rev d at any time for due cause. <br /> � <br /> � l �� i D i i <br /> Applicant Permitee Signature Date Issued By ' nature e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED VE. <br />