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CITY OF ORONO * 2 0 1 7 - 0 1 3 9 6 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/22/2017 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 540 WILLOW DR S <br /> PIN 03-117-23-32-0018 <br /> LEGAL DESC N/A <br /> LOT 002 BLOCK 001 <br /> PERMIT TYPE ACCESSORY STRUCTURE <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ENTRANCE MONUMENTS <br /> ACTIVITY O/S BUILDING-UNDEFINED <br /> VALUATION $ 5,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 123.87 <br /> PLAN REVIEW 80.52 <br /> OUTDOOR EXCAPES, INC. <br /> O <br /> OUOREDANIELS STREET STATE SURCHARGE(VALUATION) 2.50 <br /> TOTAL 206.89 <br /> LONG LAKE,MN 55356- <br /> (952)926-6899 Payment(s) <br /> Minnesota State License#: BUIL-20630819 CHECK 91596 206.89 <br /> OWNER <br /> BOHLANDER, LAURA <br /> 2260 FOX ST <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 /> revoked at any time for�due cause. <br /> Applican Permilee Signature Date Iss d By Signature 'Date <br />