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ITY F R N PERMIT <br /> C O O O O <br /> 2750 KuIIey Parkway - PO Box 66 Permit Number: P08606 <br /> Crystal Bay, Minnesota 55323 Permit Type: Fixtures <br /> (952) 249-4600 Date Issued: 4/14/2005 <br /> SITE ADDRESS: 2550 Woodhaven Dr <br /> Long Lake,MN 55356 <br /> PID: 33-118-23-41-0007 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: Plumbing <br /> Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 62.50 Valuation: $ 5,000.00 <br /> State Surcharge Fee: $ 2.50 <br /> TOTAL FEE: $ 65.00 <br /> APPLICANT: L-Gro Plumbing OWNER: John&Suzanne Van Dyck <br /> 3511 40th Avenue S 5353 Wayzata Blvd <br /> Minneapolis,MN 55406 St.Louis Park,MN 55416 <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 /> / 2 <br /> Al �� 4, �L L (.� G I C-C/2 %5"cN/ <br /> AP'LIir T PERMITEE SIGNATURE IS SUE10 BY SIGNATURE <br /> Copies: 1-File(Si&nitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessinc, 1-Finance Page 1 <br />