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CITY OF ORONO PERMIT <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: Po441� <br /> Crystal B�ay, Minnesota 55323 Permit Type: Minor Aiterations <br /> (952) 249-4600 Date Issued: ioi2i2ooi <br /> SITE ADDRESS: 4009 North Shore Dr <br /> Mound,MN 55364 <br /> P I D: 07-117-23-44-0004 <br /> DESCRIPTION: uBc occupancy R3 <br /> Proposed Use: Residential <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: $ 54.00 Valuation: $ 1,500.00 <br /> State Surcharge Fee: $ 0.75 <br /> TOTAL FEE: $ 54.75 <br /> APPLICANT: Owner/Self OWNER: Peter&Elizabeth Luzich <br /> MN 4009 North Shore Dr <br /> Mound MN 55364 <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 /> M A BUI CODE REQUIREMENTS. <br /> - �- �r�.- f�� <br /> APPLICANT I ATURE IS UEDBYSIGNATURE <br /> Conies: 1-File(SiQnitures Repuired). 1-Annlicank 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1 <br />