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� CITY OF ORONO PERMIT NO.: 20o�-oos�o <br /> ' 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE IssuEn: 08/24/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2350 SHADOWOOD DR <br /> PIN : 27-118-23-32-0013 <br /> LEGAL DESC : SHADOWOOD FARM <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> VALUATION : $ 16,500.00 Q/� �1 <br /> l� <br /> APPLICANT pERMIT FEE SCHEDULE 295.00 <br /> HOME VALUE IMPROVEMENTS STATE SURCHARGE(VALUATION) 8.25 <br /> 13756 REIMER DR <br /> MAPLE GROVE,MN 55311- MISC FEE 0.00 <br /> (763)425-9500 TOTAL 303.25 <br /> Minnesota State License#:20464927 <br /> OWNER <br /> LYNCH,PATRICK&MIA <br /> 2350 SHADOWOOD 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 /> permiu. 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 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at time for ue caus . <br /> � 8�a � o <br /> Applicant Permitee Signature Date / / <br /> Issued B ignature e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />