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PERMIT <br /> CITY OF ORONO <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: p11737 <br /> Crystal Bay, Minnesota 55323 Permlt Type: Addition/RemodeURepair <br /> (952) 24Q 4600 Date Issued: <br /> � . 12/18/2007 <br /> SITE ADDRESS: 1749 North Farm Rd Unit# <br /> Long Lake,MN 55356 <br /> PID: 27_118-23-41-0003 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Consri-uction Type VN <br /> Proposed Use: Residential <br /> Census Code 434 <br /> Permit Class: Building <br /> Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits rcquired: Plumbing Mechanical Electrical(state) <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 3,352.50 Valuation: $ 525,000.00 <br /> Plan Review Fee: $ 2,179.13 <br /> State Surcharge Fee: $ 265.00 <br /> TOTAL FEE: $ 5,796.63 <br /> APPLICANT: A1 Hirsch&Sons OWNER: Mr. &Mrs. Quiram <br /> PO Box 633 1749 North Farm Rd <br /> Delano,MN 55328 Long Lake MN 55356 <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 /> �� �, - � J t- C � <br /> �, �--� L �� � �l C�'�.� <br /> APPLICANT VGRMITEE SIG. ATURE ISSUED BY SIGNATURE <br /> �ies: ]-Filc(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,([f Septic, 1-Septic) Page 1 <br />