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CITY OF ORONO PERMIT <br /> ?,.750 Kelley Parkway - PO Box 66 Permit Number: Po632s <br /> Crystal Bay, Minnesota 55323 Permit Type: NeW sm���re <br /> (952) 249-4600 Date Issued: 6�s�2oo3 <br /> SITE ADDRESS: 4140 Highwood Rd <br /> Mound,MN 55364 <br /> P I D: 07-117-23-44-0030 <br /> DESCRIPTION: <br /> Construction Type VN <br /> Proposed Use: Residential <br /> Permit Class: Building Census Code 101 <br /> Permit Type: New Structure Permit Sub-type(s): New Home-Single Family <br /> DETAILS: <br /> Approved per resolution#: 2888 <br /> Separate pemuts required: riumbmg iviecnanicai rirepiace imgaiion v�%eii�s�atej Eiecincai�siaie j vuler-�rer i,yiej <br /> NOTICES/REMARKS: <br /> n�.ii----:`_-- `�-- -��.�:-'--� '-- -----�- �`�--- - --�---::..-� --�- - "ii � ` l7 �1�1� � . <br /> .�c:" _' " :... <br /> .... . � <br /> " '.:.::."'b.... .::::::C:::::.::i:..:t::.:1:::::y :.:.::C D'..:.::::::..:..G::�� .. . c'ry/�-'�-, <br /> FEE SUMMARY: Pernut Fee: $ 1,469.75 Valuation: $ 185,000.00 <br /> Plan Review Fee: $ 973.63 <br /> State Surcharge Fee: $ 95.50 <br /> TOTAL FEE: $ 2,538.88 <br /> APPLICANT: Mark Daniels Inc. OWNER: James Cusack&Christine Grace <br /> 5817 Oregon Ave.N. 4140 Highwood Rd <br /> Minneapolis,MN 55428 Mound MN 55364 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AG S TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNE T BUILDING CODE REQUIREMENTS. <br /> ' i / . <br /> < < C�%��'� <br /> APPLICANTP RMI S NATURE SSUEDBYSIGNATURE <br /> Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1 <br />