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� ` PERMIT <br /> C I TY C�F O RO N O Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 P03902 <br /> Crystal Eay, Minnesota 55323 Permit Type: Me�nan��ai Pe�its <br /> (952) 249-4600 ;., ; , "�� Date Issued: 6�6�2ooi <br /> , � <br /> SITE ADDRESS: 27 Shadywood Rd '`�. �� � �,�� ) � �, <br /> k. -' � �./ ,�.�) <br /> EXCELSIOR,MN 55331 `'�� � � (� '� , � w 2� <br /> PID: 21-117-23-24-0060 ��`�.,� j �;'1,;� �ti ��� �- '��' ° `�' C�. � <br /> �, ��,�i � ,�,,�-� ,��� u <br /> � � ��� � i � �l; L� <br /> DESCRIPTION: � <br /> Proposed Use: Residential / <br /> Permit Class: General <br /> Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 41.25 Valuation: $ 3,300.00 <br /> State Surcharge Fee: $ 1.65 <br /> TOTAL FEE: $ 42.90 <br /> APPLICANT: Fireside Corner OWNER: THOMAS M RAN�GAARD <br /> 2700 N Fairview Lane 2765 SHADYWOOD RD <br /> Roseville, MN 55113 EXCELSIOR MN 55331 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND <br /> STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> � -- � � ���_ U/h�— ��y�--� <br /> APPLI ANT ITEE I NATUR ISSUED BY SIGNATURE <br /> Copies: City,Applicant,Assessor,Finance Page 1 <br />