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� CITY OF ORONO PERMIT NO.: 2009-oo61s <br /> ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE IssUEn: 10/02/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1995 FOX RIDGE RD <br /> PIN : 03-117-23-13-0005 <br /> LEGAL DESC : FOX RIDGE <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SHED <br /> ACTIVITY : 328-OTHER NONRESIDENTIAL BUILDINGS <br /> VALUATION : $ 2,800.00 <br /> NOTE: ADV. PLAN REVIEW FEE COLLECTED 2009-00613$57.53 9/22/09 <br /> APPLICANT pERMIT FEE SCHEDULE 88.50 <br /> KIELEY, THOMAS STATE SURCHARGE(VALUATION) 1.40 <br /> 1995 FOX RIDGE RD TOTAL 89.90 <br /> LONG LAKE, MN 55356 <br /> PAID WITH CC# 9737 <br /> OWNER <br /> KIELEY, THOMAS <br /> 1995 FOX RIDGE RD <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The wark 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 no[ <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 inspec[ions are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> 1�.�'���, �� �6� cz �c 7 �� � � <br /> App icant Permitee Signa re Date I s s u e d I 3 y S n a[u r e D a t e <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />