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CITY OF ORONO PERMIT NO.: 2010-00889 <br /> l "`� 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/23/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 225 HOLLANDER RD <br /> PIN : 25-118-23-44-0007 <br /> LEGAL DESC : HOLLY ACRES 2ND ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOF[NG -CEDAR <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 37,000.00 <br /> APPL[CANT PERMIT FEE SCHEDULE 542.00 <br /> TIMBERLINE EXTERIORS, INC. STATE SURCHARGE(VALUATION) 18.50 <br /> 7026 E FISH LAKE ROAD <br /> MAPLE GROVE, MN 55311- TOTAL 560.50 <br /> (651)329-6916 <br /> Minnesota State License#: 20633887 <br /> OWNER <br /> CLOSE,JILL& LOUIS <br /> 225 HOLLANDER RD <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 /> S[ate E3uilding Code. This permit is tor only[he work described and does <br /> not grant permission for additional or related work which requires separate <br /> permi[s. 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 ot�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[ime for due cause�!� � <br /> ,;, � � � �'� � <br /> ` `!l �cG� ;j�- `/ / ' / �� t �f��_� � <br /> � �; <br /> Applica t Per ee Signatu Date �l �.�"�7�?i�Y_C�'7 / / <br /> Issued By S'gnature Date <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />