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_ , <br /> 4 �r <br /> PERMITr <br /> CITY OF ORONO <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: p07544 <br /> Crystal Bay, Minnesota 55323 Permit Type: New Structure <br /> (952) 249-4600 Date Issued: gi9i2ooa <br /> SITE ADDRESS: 2695 Kelly Ave <br /> Excelsior,MN55331 <br /> PID: 20-117-23-14-0008 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Construction Type VN <br /> Proposed Use: Residential <br /> Pernut Class: Building Census Code 101 <br /> Pemut Type: New Structure Pemut Sub-type(s): New Home-Single Family <br /> DETAILS: <br /> Approved per resolurion#: <br /> Separate permits required: riumoing iviecnanicai rirepiace water Connecrion�ewer C,onneciion irrigaiion Eiecuicai�siaie,i <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Pernut Fee: $ 3,946.25 Valuation: $ 650,000.00 <br /> Plan Review Fee: $ 2,565.08 <br /> State Surcharge Fee: $ 325.50 <br /> TOTAL FEE: $ 6,836.83 <br /> APPLICANT: Stonewood Design Build OWNER: Charles&Roseanne Simpson <br /> 4420 Shoreline Dr. 2695 Kelly Ave <br /> Spring Park,MN 55384 Excelsior,MN 55331 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> , C���� <br /> APPLI PERMITEE SIGNATURE ISSUED BY SIGNATURE <br /> Conies: 1-File(SiQnitures Required), 1-Auulicant 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 <br />