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� � CITY OF ORONO PERMIT NO.: 2010-00634 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 08/12/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2455 NORTH SHORE DR <br /> PIN : 09-117-23-44-0008 <br /> LEGAL DESC : SCOTCH PINE ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ACCESSORY STRUCTURE-TEMPORARY <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : TENT <br /> ACTIVITY : O/S GENERAL <br /> VALUATION : $ 0.00 <br /> NOTE: DATE(S)TENT(S)WILL BE UP:SEPTEMBER 8,2010 <br /> SIZE OF TENT(S):20'X 30' AND 1S X 15' <br /> APPLICANT pERMIT FEE SCHEDULE 25.00 <br /> MARFIELD, SAMUEL&JOYCE STATE SURCHARGE(VALUATION) 5.00 <br /> 2455 NORTH SHORE DR <br /> WAYZATA,MN 55391 TOTAL 30.00 <br /> PAID WITH CC# 3536 <br /> OWNER <br /> MARFIELD, SAMUEL&JOYCE <br /> 2455 NORTH SHORE DR <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 /> State Building Code. This permit is for only the work described and dces <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.l'his 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 are <br /> requested in conformance with the State Building Code.'fhis permit may be <br /> revoked at any time for due cause. <br /> l l ���v �'i/�i lD <br /> Applicant Permitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />