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, PERMIT <br /> CfTY OF' ORONO <br /> Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 P09830 <br /> Crystal Bay, Minnesota 55323 Permit Type: New Structure <br /> (952) 249-4600 Date Issued: <br /> 6/5/2006 <br /> SITE ADDRESS: 767 Boulder Dr Unit# <br /> Long Lake,MN 55356 <br /> PID: 33-118-23-11-0006 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Construction Type VN <br /> Proposed Use: Residential <br /> Census Code 101 <br /> Permit Class: Building <br /> Permit Type: <br /> New Structure Permit Sub-type(s): New Townhomes-Multi Fa� <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: Plumbing Mechanical Fireplace Water Connection Sewer Connection Electrical(state) <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: PernutFee: $ 2,180.95 valuation: $ 312,000.00 <br /> Plan Review Fee: $ 1,417.62 <br /> State Surcharge Fee: $ 160.00 <br /> SAC Fee: $ 1,550.00 <br /> TOTAL FEE: $ 5,308.57 <br /> APPLICANT: Z B Construction, Inc. OWNER: Dahlstrom Development LLC <br /> 10300 lOth Avenue N 7745 Polaris Lane <br /> Plymouth,MN 55441 Maple Grove,MN 55311 <br /> THE UNDERSIG D HEREBY REQUEST ERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREE O�O ALL WORK IN S T COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNES A BUI�,D NG DE RE I�t'EMENTS. <br /> � � %�C:__. L ���--�� <br /> - L- ,�'I;,C. �/%�. --,_ <br /> 'APPLICAN ERMITEE SIGN TURE IS ED BY SIGNATURE <br /> �.�./� <br /> Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 <br />