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` ' � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * z 0 1 Z - 0 1 1 0 0 * <br /> DATE ISSUED: 1UO3/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1960 FOX RIDGE RD <br /> PIN : 03-117-23-13-0011 <br /> LEGAL DESC : FOX RIDGE <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILD[NG - UNDEF[NED <br /> VALUATION : $ 3,600.00 <br /> NO"CG: RGMOVI:/Kf:PLACE(3)WINDOWS <br /> APPLICANT PERMIT FEE SCHEDULE 103.25 <br /> NORTHLAND HOME EXTER[ORS STATE SURCHARGE(VALUATION) 1.80 <br /> 308 SW 15TH ST <br /> #]00 MAIL-IN FEE 2.00 <br /> FOREST LAKE, MN 55025- TOTAL 107.05 <br /> (65 I)464-0234 <br /> Minnesota State License#: 20440290 <br /> OWNER <br /> MORISON, LUCIA <br /> 1960 FOX RIDGE RD <br /> LONG LAKE, MN 55356- <br /> ACREEMENT 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 thc <br /> State[3uilding Code. This permit is for only the work described and does <br /> not grant permission Yor additional or relatcd work which requires separate <br /> pennits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This perniit 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 l80 days at any time atter work has commenced. <br /> The applicant is responsible for assurina all required inspections are <br /> requested in conformance with the State Building Code. l�his permit may be <br /> revoked at any time for due cause. <br /> C //l O..SI/Y� I/ l (�Sl/�-- <br /> Applicant Permitee Signatu e Date [ssu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />