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,. � , CITY OF ORONO * 2 0 1 5 - P1 0 9 7 9 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 08/OS/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 30� VEN ���+_-I<�r���,�, �� ��.��v�F�� . I It->t� f-I����,,—�-_;a<��-�a - Ts�= <br /> PIN . - - - — N c'C�'� ; s�� I I�? �- �� _��_' c":C��s-. <br /> LEGAL DESC : UNPLATTED 28 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 2,500.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE) <br /> PROPOSED STAIRWAY <br /> APPLICANT PERMIT FEE SCHEDULE 92.93 <br /> PLAN REVIEW 60.40 <br /> MARIANI,DAVE&DIANNE STATE SURCHARGE(VALUATION) 125 <br /> 1150 HOMESTEAD TRAIL <br /> LONG LAKE, MN 55356- TOTAL 154.58 <br /> Payment(s) <br /> CHECK 5265 154.58 <br /> OWNER <br /> MARIANI, DAVE& DIANNE <br /> 1150 HOMESTEAD TRAIL <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEME1vT <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 /> 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 goveming 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 da[e 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. <br /> � J _ `. <br /> � ' I l � '�(� �l �l l� <br /> App cant Permitee Signature Date Issued ignature Date <br />