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CITY OF ORONO PERMIT NO.: 2010-01074 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 11/02/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 1160 TOWNLINE RD <br /> PIN 30-118-23-32-0002 <br /> LEGAL DESC UNPLATTED 30 118 23 <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 $ 3,500.00 <br /> NOTE: TEAR OFF REROOF MAIN HOUSE <br /> APPLICANT PERMIT FEE SCHEDULE 103.25 <br /> BOHLMANN EXTERIORS STATE SURCHARGE(VALUATION) 5.00 <br /> 18567 331ST AVENUE <br /> GREEN ISLE,MN 55338- TOTAL 108.25 <br /> (612)720-7280 <br /> Minnesota State License#:20519641 <br /> OWNER <br /> VALENTA,GARY <br /> 1160 TOWNLINE RD <br /> MAPLE PLAIN,MN 55359 <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. 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at anyti L'4 I "or a se. <br /> l 02 / � (� ✓l -1ti l// oZ l /d <br /> AppEcaffrermite Signature Date Issdepy Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />