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CITY OF ORONO <br />2750 Ke|)By Parkway - PO Box 66 <br />CrysJs»TBay, Minnesota 55323 <br />(952) 249-4600 <br />PERMIT <br />Permit Number. <br />Permit Type; <br />Date Issued: <br />P04001 <br />Addition/Remodel/Repair <br />678/2001 <br />SITE ADDRESS: 4070 Dahl Rd <br />Mound. MN 55364 <br />PID: 07-117-23-11-0019 <br />DESCRIPTION: <br />Proposed Use: Residential <br />Permit Class: Building <br />Permit Type: Addition/Remodel/Repair <br />UBC Occupancy Ul <br />Construction Type VN / <br />Census Code <br />Permit Sub-t>pc(s): Garage - Attached <br />DecV\ <br />f <br />DETAILS: <br />Approved per resolution #: <br />Separate permits required; <br />NOTICES/REMARKS: <br />« <br />FEE SUMMARY: Permit Fee;S 83.25 ValUa^tion: S 2,400.00 <br />Plan Review Fee:S 54.08 <br />State Surcharge Fee:S 1.20 <br />TOTAL FEE:$ 138.53 • <br />APPLICANT: <br />4070 Dahl Rd <br />Mound. MN <br />OWNER: <br />4070 Dahl Rd <br />Mound MN 55364 <br />the undersigned hereby requests PERM15SICK4 TONUKE 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 />APPI.J'^ANT PtRMITEl SIGNATtRH ISSUED BYSlO <br />■M/ /U^ <br />SlG^TURE <br />Copi«: fSisniiures Reaui^ed). l-Aw)licanL l-Monthlv Rtoorts. I-Asses$in&. I-Finaicc Page I