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� CITY OF ORONO * 2 P1 1 4 — 0 0 3 3 6 * <br /> 2750 KELLEY PARKWAY DATE issUED: 04/24/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 350 BROWN RD S <br /> PIN : 03-117-23-13-0001 <br /> LEGAL DESC : UNPLATTED 03 1 17 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : W[NDOWS <br /> ,-- ,� , . <br /> VALUATION : �$ 12,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 22125 <br /> STATE SURCHARGE(VALUATION) 6.00 <br /> CHALFEN, RICHARD <br /> 350 BROWN RD S TOTAL 227.25 <br /> LONG LAKE, MN 55356- Payment(s) <br /> CHECK 9945 227.25 <br /> OWNER <br /> CHALFEN, RICHARD <br /> 350 BROWN RD S <br /> LONG LAKE, MN 55356- <br /> ACREEMENT AND SWORN STATEMENT <br /> I�he work for which Ihis pemiit is issued shall be perfonned according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State f3uilding Code. 'I'his pennit is for only the work described and does <br /> not grant permission for additional or related work which requires separatc <br /> permits. All provisions of laws and ordinances goveming this typc of work <br /> shall be compied with whcther or not specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date ot�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 S[ate Building Code.This permit may be <br /> revoked at any time fbr due cause. <br /> L'�--£"�� C.�t�'J �� � .nCi � ��� / <br /> pplicant Permitee Signature Date Iss By Signature Date <br />