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r <br /> � � ' PERMIT <br /> CITI�' �F ORONO Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 Po4s�� <br /> Crystal Bay, Minnesota 55323 Permit Type: NeW strU�ture <br /> (952) 249-4600 Date Issued: t2i�oi2oo� <br /> SITE ADDRESS: 420 Big Island <br /> Excelsior,MN 55331 <br /> P I D: 23-117-23-32-0063 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Construction Type I <br /> Proposed Use: Other <br /> Permit Class: Building Census Code 101 <br /> Permit Type: New Structure Permit Sub-type(s): Cabin <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: ��ecu�icai�s�atej <br /> NOTICES/REMARKS: <br /> i._�'__ r"_c�"_____i ____ __t' <br /> �.Q�.... - . ... JGA..,....Q. ...JG ... :! <br /> FEE SUMMARY: Permit Fee: $ 125.25 <br /> Valuation: $ 6,000.00 <br /> Plan Review Fee: $ 81.38 <br /> State Surcharge Fee: $ 3.00 <br /> TOTAL FEE: $ 209.63 <br /> APPLICANT: Owner/Self OWNER: Donald Swensurd& Mary O'Connor <br /> MN 420 Big [sland <br /> Excelsior, MN 55331 <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 /> ��a� �� <br /> � <br /> � _ � ,� ��ir���.-�-��,-- <br /> APPLICANT PERM EE SIGNATURE ISSUGDBYSIGNATUR� <br /> Cooies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reoorts. 1-Assessine. l-Finance Page 1 <br />