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� � CITY OF ORONO <br /> PERMIT NO.: 2011-00545 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/29/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 945 FOREST ARMS LA <br /> PIN : 07-117-23-12-0019 <br /> LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 19,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 324.50 <br /> THREE PINES CONSTRUCTION STATE SURCHARGE(VALUATION) 9.50 <br /> 2876 MIDDLE STREET <br /> ST PAUL, MN 55109- TOTAL 334.00 <br /> (763)244-9199 <br /> Minnesota State License#: 20598207 <br /> OWNER <br /> [VERSEN TRUSTEE, ROSEMARY C <br /> 2835 CASCO PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work Yor which this permit is issued shall be perfonned according to <br /> the approved plans and specifications,applicable City approvals,and thc <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 ot�issuance,or if construction is <br /> suspended for a period of I 80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> request in conformance with the tate Building Code.This permit may be <br /> revo 'd at any tim o�d cause <br /> �� ��l � � l �fl � <br /> A ica ermi ,ignature Date Issu [3y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />