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CITY OF ORONO * z 0 1 6 - 0 0 4 2 z * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 04/25/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2760 COUNTRYSIDE DR W <br /> PIN : 04-117-23-12-0011 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTIVITY : O/S BUILDING-LINDEFINED <br /> VALUATION : $ 15,000.00 <br /> NOTE: NEW SIDING ON FRONT OF HOUSE <br /> APPLICANT PERMIT FEE SCHEDULE 278.77 <br /> STATE SURCHARGE(VALUATION) 7.50 <br /> STERN,JON&MOLLY TOTAL 286.27 <br /> 2760 CO[JNTRYSIDE DR W Payment(s) <br /> LONG LAKE,MN 55356 CREDIT CARD 7872 286.27 <br /> OWNER <br /> STERN,JON&MOLLY <br /> 2760 COUNTRYSIDE DR W <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AIYD SWORN STATEMENT <br /> The work for which this permit is issued sha11 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 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 with the State Building Code.This permit may be �,/� <br /> revoked at any time for due cause. Y <br /> _. . <br /> - �S=/ --u' � ( f`�---{s � l.( / ��- � <br /> Appli ant Permitee i ature Date Issued y Signatur Date <br />