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CITY OF ORONO * 2 0 1 4 — 0 0 6 3 0 * <br /> � �� 2750 KELLEY PARKWAY DATE ISSUED: 06/24/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRE�S : 3051 FARVIEW LA <br /> PIN : 04-117-23-33-0009 <br /> LF.GAL DESC : FARVIEW <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODGL/REPAIR <br /> PROPERTY TYPE : RGSIDENTIAL <br /> CONSTRUCTION TYPE : ADDN / REMODEL/ REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 2,500.00 <br /> NO"I'E: SI�:PnRn�I�L PI:RMI"I�S RIiQUIRI�,D: L�;I,E�:C'��RICAI.(S"I�n�l�f:) <br /> RGMODEI. <br /> APPLICANT PERMIT FEE SCHEDULE 88.50 <br /> DELANF,Y, DAVID& FRANC[NF, PLAN REVIEW 57.53 <br /> 3051 FARV[EW LA STATE SURCHARGE (VALUATION) 1.25 <br /> LONG LAKE, MN 55356- TOTAL 147.28 <br /> Payment(s) <br /> CHECK 8680 147.28 <br /> OWNER <br /> DGLANEY, DAVID& FRANCINE <br /> 3051 FARV[F.W LA <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for�chich this permit is issucd shall be performed accordine tu <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Buildine Code. This permit is for onl��the�cork described and docs <br /> not grant pemiission for additional or related work�vhich requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied���ith whether or not specitied herein.'Chis 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�vork has commenced. <br /> The applicant is responsible 1i�r assuring all required inspections are <br /> requested� �orman� vi[h the State[3uilding Codc.This permit may be <br /> revoke at any t� or due �ause. <br /> -� � ,z , <br /> pli nt Permitee Signature Datc lssu d By Signaturc Datc <br />