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PERMIT <br /> *;TY OF ORONO PERMIT TYPE: R �I Lid T CSC <br /> 2750 Kelley Parkway- P.O. Box 66 o j 006-=---,Crystal Bay, Minnesota 55323 Permit Number: <br /> (612)473-7357 Date Issued: t y4 0 .!' <br /> � <br /> SITE ADDRESS: <br /> 11*2-1 x TONKAWA RD <br /> _Tv <br /> F'. I . N. ; 0 -117-2-::-1::-f 009 <br /> DESCRIPTION: <br /> TEAR-OFF/RE-ROOF <br /> OF <br /> Building Permit. Type SF-ADD/REMODEL <br /> Building Work Type RE-R00F <br /> Census Code 4:34 ALT . RESIDENTIAL <br /> REMARKS: <br /> FEE SUMMARY: <br /> VALt jAT I 0Pd $7, 000 <br /> Ease Fee $124 . 7 <br /> Surcharge --------- <br /> Total Fee $1`"' `c <br /> CONRpCT - Applicant. - LIC '0 <br /> EfER_i' Cys ' C_s'_E :=:TRt J :T I�N 1-4208-6218- 9t;�04 t4 1 ' _ :T.���-_N <br /> 14470 0 _6 F H AVE N 1120 TOt�KAWA RD <br /> MAPLE GRA VE _ MN �,8:_c69 0RON i _ MN =5 66 <br /> (6-1 L) 420-86-28 471-17690 <br /> 9 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMI�SSIC+N D 14k ' THE REAS MOVEMENTS <br /> SPECIFIED AND AGREES TO MALL, ALL �ORK� I Tit T �"��� '�:T�i�4�E T��� I TY TSE <br /> CIR!NO i RD I NANC:ES AND "TATE OF MINNESOTA,, G, RE T <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE k v- <br />