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CITY OF ORONO PERMIT NO.: 2009-00445 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 07/30/2009 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1860 WEST FARM RD <br /> PIN : 27-118-23-43-0018 <br /> LEGAL DESC : THE FARM AT LONG LAKE <br /> : LOT 019 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 4,799.00 <br /> NOTE: RE-ROOF REPAIR STORM DAMAGE <br /> APPLICANT PERMIT FEE SCHEDULE 118.00 <br /> BOULDER CREEK BUILDERS STATE SURCHARGE(VALUATION) 2.40 <br /> 11490 HANSON BOULEVARD <br /> COON RAPIDS,MN 55433- MAIL-IN FEE 2.00 <br /> (763)450-0730 TOTAL 122.40 <br /> Minnesota State License#: 20385249 <br /> OWNER <br /> SHULL,ELIZABETH MORRISON&LAUNE <br /> 1860 WEST 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 /> revoked at any time for due cause. <br /> flo.a2 cam, l / l l <br /> Applicant Permitee Signature Date Issued By nature 4i Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO is. <br />