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CITY OF ORONO PERMIT <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Po�9s� <br /> Crystal F�ay, Minnesota 55323 Permit Type: NeW sr�u��ure <br /> (952) 249-4600 Date Issued: ii�9�2o04 <br /> SITE ADDRESS: 781 Boulder Dr <br /> Long Lake,MN 55356 <br /> PID: 33-118-23-11-0008 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Construction Type VN <br /> Proposed Use: Residential <br /> Permit Class: Building Census Code 102 <br /> Permit Type: New Structure Permit Sub-type(s): New Townhomes-Mulri Fa� <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: i'iumbing iviecnanicai rirepiace waier Conneciion�ewer Conneciion �iecuicai�siaiej <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 2,365.75 Valuation: $ 345,000.00 <br /> Plan Review Fee: $ 1,556.03 <br /> State Surcharge Fee: $ 175.50 <br /> SAC Fee: $ 1,350.00 <br /> TOTAL FEE: $ 5,447.28 <br /> APPLICANT: 7ohn Terrance Homes,LLC OWNER: Dahlstrom Development LLC <br /> 8266 Xene Lane 7745 Polaris Lane <br /> Maple Grove,MN 553ll Maple Grove,MN 55311 <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 /> � <br /> � <br /> -�.._ � <br /> ' �.�: �� � � >� /� �.,� � � � ��'V`CC �l y'2� <br /> APPLICANT ER [TEESIGNATURE , ISSUEDBYSIGNATURE <br /> U <br /> Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 <br />