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� , •. <br /> CITY OF ORONO PERMIT NO.: 2009-00883 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 12/08/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1449 SHORELINE DR <br /> PIN : 11-117-23-21-0001 <br /> LEGAL DESC : UNPLATTED 11 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : G � ����` ��l • ; � _� i <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIV[TY : O/S BU[LDING - UNDEFINED <br /> VALUATION : $ 800.00 <br /> APPLICANT PERMIT FEE SCHEDULE 34.75 <br /> NELSON, ROBERT&CAROLYN STATE SURCHARGE(VALUATION) 0.50 <br /> 500 SE STH AVE- S802 <br /> BOCA RATON, FL 33432 TOTAL 35.25 <br /> OWNER <br /> NELSON, ROBERT&CAROLYN <br /> 500 SE STH AVE- S802 <br /> BOCA RATON, FL 33432 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Quilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires scparate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any timc after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requeste n conformance with the Sta[e Building Code.This permit may be <br /> revok a ,��ne <br /> -- � / � / 4 / D�"/ (� <br /> Applicant Permitee Signature Date Issued Signature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />