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CITY OF ORONO � 0 1 5 - 0 0 9 8 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/10/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2420 DLJNWOODY AVE <br /> PIN : 20-117-23-21-0018 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 001 BLOCK 007 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RELIGIOUS <br /> CONSTRUCTION TYPE : OTHER <br /> ACT[VITY : O/S BUILDING-LTNDEFINED <br /> VALUATION : $ 965.00 <br /> NOTE: AWNING <br /> APPLICANT PERMIT FEE SCHEDULE 4330 <br /> STATE SURCHARGE(VALUATION) 0.48 <br /> NORTH HILL PARTNERS INC <br /> 3206 BLOOMINGTON AVE TOTAL 43.78 <br /> MINNEAPOLIS,MN 55402- Payment(s) <br /> (612)722-2731 CHECK 11709 43.78 <br /> Minnesota State License#: cont-IR656725 <br /> OWNER <br /> Calvary Memorial Church <br /> 2420 DUNWOODY AVE <br /> WAYZATA, MN 55391- <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 permi[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 au[horized is not <br /> commenced within 180 days of the date of issuance,or if construc[ion is <br /> suspended for a period of 180 days a[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 /> � � � g � �d �/S <br /> Applicant Permitee Signature Date Issu d y Signature Date <br />