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C'ITN: OF ORONO PERMIT <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: P06502 <br /> Crystal Bay, Minnesota 55323 Permit Type: New structure <br /> (952) 249-4600 Date Issued: 8/21/2003 <br /> SITE ADDRESS: 680 Tonkawa Rd <br /> Long Lake,MN 55356 <br /> PID: 05-117-23-33-0010 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Proposed Use: Residential Construction Type VN <br /> Permit Class: Building Census Code 101 <br /> Permit Type: New Structure Permit Sub-type(s): New Home-Single Family <br /> DETAILS: <br /> Approved per resolution#: 5002 <br /> Separate permits required: Piumbing Mechanical Firepiace Sewer Connection irrigation w eii(stale)Eiecincai(siaie)Omer <br /> -(Reno#5002 must be signed-was 7/03) <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 3,121.75 Valuation: $ 480,000.00 <br /> Plan Review Fee: $ 2,029.23 <br /> State Surcharge Fee: $ 240.50 <br /> TOTAL FEE: $ 5,391.48 <br /> APPLICANT: Denali Custom Homes,Inc. OWNER: Melinda Lee <br /> 18283 Minnetonka Blvd. 680 Tonkawa Rd <br /> Deephaven,MN 55391 Long Lake MN 55356 <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 /> / Gam- <br /> APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE <br /> Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 <br />