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CITY OF ORONO PERMIT NO.: 2009-00560 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 09/08/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 160 TRUFFULA TR <br /> PIN 33-118-23-44-0038 <br /> LEGAL DESC MEADOW WOOD POND <br /> LOT 004 BLOCK 001 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ROOFING-ASPHALT <br /> ACTIVITY O/S BUILDING-UNDEFINED <br /> VALUATION $ 16,021.00 <br /> APPLICANT PERMIT FEE SCHEDULE 295.00 <br /> HOME VALUE IMPROVEMENTS STATE SURCHARGE(VALUATION) 8.01 <br /> 13756 REIMER DR TOTAL 303.01 <br /> MAPLE GROVE,MN 55311- <br /> (763)425-9500 <br /> Minnesota State License#:20464927 <br /> OWNER <br /> BORG,MR.&MRS. <br /> 160 TRUFFULA TR <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 /> 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' responsible assuring all required inspections are <br /> requeae7 -U17' <br /> s nformance �th e S e Building Code.This permit may be ^� <br /> rev ed at time ford use. <br /> ��j <br /> Z �l 1�l D � <br /> l / / <br /> Ap can Pennitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />