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" ' PERMIT <br /> CIT`�' OF ORONO <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Posoog <br /> Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations <br /> (952) 249-4600 Date Issued: 4�i6�2oo2 <br /> SITE ADDRESS: 785 Ferndale Rd N <br /> Wayzata,MN 55391 <br /> PID: 36-118-23-11-0012 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Proposed Use: Residenrial <br /> Permit Class: Building Census Code O/S-Building <br /> Permit Type: Minor Alterations Permit Sub-rype(s): Windows <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> ..--�-- �� �-�---- - -, � ,-- - <br /> ._..._. _ . .. .......... . - <br /> ...,......., .� ........,..�........ .......� <br /> FEE SUMMARY: Permit Fee: $ 265.25 Valuation: $ 15,214.00 <br /> State Surcharge Fee: $ 7.65 <br /> TOTAL FEE: $ 272.90 <br /> APPLICANT: Renewal By Anderson OWNER: Michelle&Thomas Cullum Jr <br /> 1920 County Rd C. West 785 Ferndale Rd N <br /> Roseville,MN 55113 Wayzata MN 55391 <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 /> ti <br /> � r � /� �j�j <br /> C.�.,�.�1��i'���i�, „�--�v� ---- l �`�� "�---� <br /> APPLICANT PERMI"TEE SIGNATURE ISSUED BY SIGNATURE <br /> Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 <br />