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, <br /> CITY OF ORONO * 2 0 1 2 - 0 0 6 4 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/16/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4355 CHIPPEWA LA <br /> PIN : 31-118-23-42-0020 <br /> LEGAL DESC : N/A <br /> : LOT 000 BLOCK 000 <br /> PERM IT TYPE : ACCESSORY STRUCTURE-TEMPORARY <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : TENT <br /> ACTIVITY : O/S BUILDING- UNDEFINED <br /> VALUATION : $ 0.00 <br /> NOTE: DATE(S)TENT(S)WILL BE UP: SEPTEMBER 1,2012 <br /> SIZE OF TENT(S): 40 X 100 FEET <br /> APPLICANT PERM[T FEE SCHEDULE 25.00 <br /> MIDWAY PARTY RENTAL TOTAL 25.00 <br /> 600 KASOTA AVE S <br /> MINNEAPOLIS,MN 55402- PAID WITH CC# 5576 <br /> (612)238-0641 <br /> OWNER <br /> YOUNG,JOHN&LYNN <br /> 4355 CHIPPEWA LA <br /> MAPLE PLA[N, MN 55359- <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 I3uilding 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 wi[h the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / �� / / <br /> Applicant Permitee Signature Date I sued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR W OTHER THAN DESCRIBE A E. <br />