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CITY OF ORONO PERMIT <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Po�33� <br /> Crystal Bay, Minnesota 55323 Permit Type: FiXcures <br /> (952)'249-4600 Date Issued: 4�12�2004 <br /> SITE ADDRESS: 2635 Countryside Dr w <br /> I.ong Lake,MN 55356 <br /> P I D: 04-117-23-13-0007 <br /> DESCRI PTION: <br /> Proposed Use: Kesidential <br /> Permit Class: Plumbing <br /> Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: PernutFee: $ 15.00 Valuation• $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 15.50 <br /> APPLICANT: Owner/Self OWNER: David&Teresa Gross <br /> MN 2635 Counri-yside Dr W <br /> Long Lake,MN 55356 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TIIE 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 /> _ —� � � C ��^'�- � /Q-/� <br /> c;� -���_� <br /> APPL[C T PERMITEE SIGNATURG ISSUED BY SIGNATURE <br /> Covies: 1-File(Sienitures Reouired), 1-Apvlicant, 1-Monthlv Reports. 1-Assessin�, 1-Finance Page 1 <br />