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N 11111111 IN IN <br /> CITY OF ORONO I <br /> Iz 0 1 7 - 0 1 3® <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/30/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 1669 NORTH FARM RD <br /> PIN 27-118-23-44-0008 <br /> LEGAL DESC THE FARM AT LONG LAKE <br /> LOT 007 BLOCK 001 <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADDN/REMODEL/REPAIR <br /> ACTIVITY 434-RESIDENTIAL <br /> VALUATION $ 15,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE) <br /> NOTE: PRIOR TO RELEASE OF ESCROW MONEY AN AS-BUILT SURVEY AND HARDCOVER CALCULATIONS MUST BE SUBMITTED <br /> AND APPROVED. INITIAL: <br /> APPLICANT PERMIT FEE SCHEDULE 278.77 <br /> STATE SURCHARGE(VALUATION) 7.50 <br /> KEENAN& SVEIVEN,INC. TOTAL 286.27 <br /> 15119 MINNETONKA BLVD. Payment(s) <br /> MINNETONKA,MN 55345- CREDIT CARD 0048 286.27 <br /> (952)475-1229 <br /> Minnesota State License#: BUIL-7252 <br /> OWNER <br /> BEENDERS&PETER MONTGOMERIE,ANTOINETTE <br /> 1669 NORTH FARM RD <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 is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revok a Meorca e. <br /> b ( W, 6 13c) 11 <br /> A c t Petmitee Signatu � Date I Issued 139 Signature Date <br />