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CITY OF ORONO tLii I L'I �2750 KELLEY PARKWAY 0 1 1 9 <br /> DATE ISSUED: 10/06/22 014 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 490 OLD LONG LAKE RD <br /> PIN : 36-118-23-34-0010 <br /> LEGAL DESC : SUMMIT STATION <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 10,750.00 <br /> NOTE: SIDING <br /> APPLICANT PERMIT FEE SCHEDULE 206.50 <br /> STATE SURCHARGE(VALUATION) 5.38 <br /> THINK STUCCO LLC MAIL-IN FEE 2.00 <br /> 5928 PORTLAND AVE. S, TOTAL 213.88 <br /> MINNEAPOLIS,MN 55417- <br /> (612)866-1204 Payment(s) <br /> Minnesota State License#: BUIL-20638389 CREDIT CARD 0501 213.88 <br /> OWNER <br /> WIKEN,LAWRENCE&BARBARA <br /> 490 OLD LONG LAKE 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 /> 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> AP <br /> at <br /> iY ..� I . _ �1 /o l/7' <br /> Applicant Permitee Signature Issue/ y Signature Date <br />