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' CITY OF ORONO PERMIT NO.: 2010-01016 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE �sSUE�: 10/18/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1940 COUNTRY CLUB RD <br /> PIN : 27-118-23-42-0018 <br /> LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN <br /> : LOT 006 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDING -UNDEF[NED <br /> VALUATION : $ 14,430.00 <br /> NOTE: TEAR OFF REROOF-ASPHALT <br /> APPLICANT PERMIT FEE SCHEDULE 265.50 <br /> ALL SEASON REMODEL[NG& EXTERIORS STATE SURCHARGE(VALUATION) 7.22 <br /> 17344 PUMA ST. NW <br /> RAMSEY, MN 55303 TOTAL 272.72 <br /> (612)221-3318 <br /> Minnesota State License#: 20388311 <br /> OWNER <br /> SMITH, MR. & MRS. <br /> 1940 COUNTRY CLUB RD <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> Che work for whicl�this pern�it is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> Statc[3uilding Code. "I�his permit is for only the work describcd and does <br /> not grant permission for additional or related work which requires separatc <br /> permits. All provisions of laws and ordinances goveming lhis type of work <br /> shall be compied with whether or not specified herein.7'his permit will <br /> cxpire and become null and void if construction authorized is not <br /> commenced within l80 days of the date of issuance,or if construclion is <br /> suspended for a period of 80 days at any time a(ter work has commenced. <br /> The applicant i respons� le for assuring all required inspections are <br /> requeste in c nfo iai e with the State Building Code.This permit may be <br /> revoke at an � e f due cause. <br /> � / pl �r�l� /v <br /> A lica t rmitee Signature Date [ssu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />