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� CITY OF ORONO PERMIT NO.: 2011-00390 <br /> . 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: OS/25/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3415 HIGH LA <br /> PIN : OS-117-23-12-0017 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 203 <br /> : LOT 000 BLOCK 000 <br /> � PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 28,965.56 <br /> NOTG: RGROOP GNTIRE HOME&RF.PAIR MINOR WATI:R DAMAGC INSIDE/SIiEE'rROCK <br /> APPL(CANT pERMIT FEE SCHEDULE 456.00 <br /> BAUER SERVICES, WC. <br /> 730 BUCHANON ST. STATE SURCHARGE(VALUATION) 14.48 <br /> ANOKA, MN 55421- TOTAL 470.48 <br /> (763)421-1723 <br /> Minnesota State License#: 20508666 <br /> OWNER <br /> MARKLUND, RI[CHARD <br /> 34I5 HIGH LA <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shali be performed according to <br /> the approved plans and specitications,applicable City approvals,and thc <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission Yor additional or related�vork which requires separatc <br /> permits. All provisions of laws and ordinances governing Ihis 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 /> re�oked at any time for due cause. �� <br /> i <br /> �1, 1� `_�/ Z�/ 2�,1 � � �.-L_ LYYV�C� ��� � j-��� —/ � <br /> Appli ant Per 'tee Signature Date [ssued[3y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br /> s' <br /> , <br />