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CITI� �F ORONO PERMIT <br /> 2750�Kelley Parkway- PO Box 66 Permit Number: Poa2s6 <br /> Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations <br /> (952) 249-4600 Date Issued: ai29i2ooi <br /> SITE ADDRESS: 3675 Lyric Avenue <br /> Wayzata,MN 55391 <br /> P I D: 17-117-23-3 4-0040 <br /> DESCRIPTION: UBC Occupancy � <br /> Proposed Use: Other <br /> Permit Class: Building Census Code O/S-Building <br /> Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 9�•25 Valuation: $ 3,740.00 <br /> c�, State Surcharge Fee: $ 1.90 <br /> � J <br /> l'� <br /> � <br /> TOTAL FEE: $ 99.15 <br /> APPLICANT: OWNER: DouglasNieland <br /> 3675 Lyric Avenue <br /> 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 /> � <br /> ���_ t/�e- ���`� �� <br /> APPLICANT PERMITEE SIGNATURE ISS D BY SIGNATURE <br /> Conies: 1-File(SiQnitures Required). 1-Annlicant 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 <br />