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' ' PERMIT <br /> CITY OF ORONO <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: Posaos <br /> Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair <br /> (952) 249-4600 Date Issued: 2ii�i2oos <br /> SITE ADDRESS: 2760 Shadywood Rd <br /> Excelsior,MN55331 <br /> P I D: 21-117-23-24-0040 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Construction Type VN <br /> Proposed Use: Residential <br /> Permit Class: Building Census Code 434 <br /> Permit Type: Addirion/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair <br /> DETAILS: <br /> Approved per resolurion#: <br /> Separate permits required: riumoing iviecnanicai ruepiace imganon r,iecuicai�siaze j <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Pernut Fee: $ 2,953.75 Valuation: $ 450,000.00 <br /> Plan Review Fee: $ 1,920.03 <br /> State Surcharge Fee: $ 225.50 <br /> TOTAL FEE: $ 5,099.28 <br /> APPLICANT: Creative Builders Inc. OWNER: Jeff Engler <br /> 412 Mill Avenue NE 3330 Martha Lane <br /> Watertown,MN 55388 Minnetonka,MN 55345 <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 STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> � GCi� ��'E-� `/ <br /> APPLICANT ITEE SIGNATURE ISSUED BY SIGNATURE <br /> Conies: 1-File(Signitures Required). 1-Applicant, 1-Monthlv Reuorts, 1-Assessine, 1-Finance Page 1 <br />