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� CITY OF ORONO PERMIT NO.: 2009-00130 <br /> • 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuE�: 04/22/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 776 BROWN RD N <br /> PIN : 34-118-23-11-0001 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1275 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : USER DEFINED <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : STA[RWAY TO LAKE <br /> ENTER VALUATION 5000 <br /> APPLICANT USER DEFINED PERMIT FEE 1 18.00 <br /> BENSON& BARBARA LUIKENS, RICHARD USER DEFINED PLAN REVIEW 76.70 <br /> 776 BROWN RD N <br /> LONG LAKE, MN 55356- STATE SURCHARGE USER DEFINED 2.50 <br /> TOTAL 19720 <br /> OWNER <br /> BENSON& BARBARA LUIKENS, RICHARD <br /> 776 BROWN RD N <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 specitied hercin.This permit will <br /> expire and become nuli and void if construction authorized is not <br /> commenced within l80 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 /> Thc applic t is responsible for assuring ail required inspections are <br /> requeste onformance the State Building Code.This permit may be <br /> revoked time r <br /> Zvi ,Gf�oC/o l l <br /> A plicant Permitee ignature Date Issued By,i nature te <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED VE. <br />