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CITY OF ORONO PERMIT NO.: 2011-00311 <br /> ; 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 05/06/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1098 LOMA LINDA AVE <br /> PIN : 08-117-23-23-0011 <br /> LEGAL DESC : LOMA LINDA <br /> : LOT O10 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 4,995.00 <br /> APPLICANT pERMIT FEE SCHEDULE 118.00 <br /> CMR CONSTRUCTION STATE SURCHARGE(VALUATION) 2.50 <br /> 8400 NORMANDALE BLVD#920 TOTAL 120.50 <br /> BLOOMINGTON,MN 55437- <br /> (763)398-7663 <br /> Minnesota State License#:20635871 <br /> OWNER <br /> TOLLIVER,MICHAEL&LUANN <br /> 1098 LOMA LINDA AVE <br /> MOUND,MN 55364 <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 /> 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 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 aze <br /> �requested in confe�nce with the S � mg e.This permit may be <br /> revoked at any time. due caus � <br /> � � � G������`*i—/� l l <br /> App ' ant Per itee Signature Date Issued By i ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . <br />