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� CITY OF ORONO PERMIT NO.: 2010-01109 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 1 U10/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2587 KELLY AVE <br /> PIN : 20-117-23-14-0021 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 004 BLOCK 005 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 5,200.00 <br /> APPLICANT pERMIT FEE SCHEDULE 132.75 <br /> OAK HILL INC. STATE SURCHARGE(VALUATION) 5.00 <br /> 2264 SHADYWOOD <br /> WAYZATA,MN 55391 MISC FEE 0.00 <br /> (612)366-3611 TOTAL 137.75 <br /> Minnesota State License#:20590094 <br /> OWNER <br /> STODDARD,MR.&MRS. <br /> 2587 KELLY AVE <br /> EXCELSIOR,MN 55331 <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 sepazate <br /> permits. All provisions of laws and ordinances goveming tfiis 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 res le for assuri required inspections are <br /> requested in o an h t uilding Code.This permit may be <br /> revo any time for c <br /> � ���a � �j� i i <br /> AppLcant Pe e Signature Date Issued By i nature Date <br /> "; SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABOVE. <br /> � <br />