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CITY OF ORONO PERMIT <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Pog3�9 <br /> Crystal Bay, Minr�esota 55323 P2rf111t Type: Addition/Remodel/Repair <br /> (952) 249-4600 Date Issued: zi�i2oos <br /> SITE ADDRESS: 3265 Carman Rd <br /> Excelsior,MN55331 <br /> PID: 2o-i i�-23-ia-ooi i <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Buildin Census Code 434 <br /> Permit Class: S <br /> Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair <br /> DETAILS: <br /> Approved per resolution#: 3065 <br /> Separate pernuts required: <br /> NOTICES/REMARKS: <br /> n_______ r�__t_ ri__t"' �i�ir_.__.__`_ n_`._ o n_`_t_..__ �i�_it <br /> ��G......G.�G.. � Gt::S.,:. �.,:........G..G�.1........�.G....,,.,:b ...:.. <br /> FEE SUMMARY: PermitFee: $ 643.75 Valuation: $ 50,000.00 <br /> Plan Review Fee: $ 418.53 <br /> State Surcharge Fee: $ 25.50 <br /> TOTAL FEE: $ 1,087.78 <br /> APPLICANT: Owner/Self OWNER: Mark&Bonnie Hector <br /> � 3265 Carman Rd <br /> Excelsior,MN 55331 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> ;� � ___ , �__ r� �,%�C� c:_ il %� � <br /> APPLICANT PERMITEE SIGNATU ISS _D BY SIG'�fATURG //`'l' ✓ <br /> Cooies: 1-File(Si�nitures Repuired), 1-Apvlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 2 � <br />