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� . <br /> CITY OF ORONO PERMIT <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: P06978 <br /> Crystal Bay, Minnesota 55323 Permit Type: �inor.vt�ations <br /> (952) 249-4600 Date Issued: 11/13/2003 <br /> SITE ADDRESS: 4191 North Shore Dr <br /> MOUND,MN 55364 <br /> P I D: 07-117-23-44-0046 <br /> D ESCRI PTION: <br /> Proposed Use: Residential <br /> Census Code O/S-Building <br /> Permit Class: B��S <br /> Permit Type: Minor Alterarions Permit Sub-type(s): Building-Re-Roof <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Pernrit Fee: $ 111.25 Valuation• $ 4,300.00 <br /> State Surcharge Fee: $ 2.65 <br /> TOTAL FEE: $ 113.90 <br /> APPLICANT: Owner/Self OWNER: DANAH L MCCAMMON <br /> M� 4191 NORTH SHORE DR <br /> MOUND MN 55364 <br /> TFIE UNDERSIGNED HEREBY REQUESI'S PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN SfRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SfATE OF <br /> MINNESOTA BUILDING CODE REQUIREMIIVTS. <br /> � ������) <br /> APPLICANT P ITEE SIG ISSUED BY SIGNATURE <br /> Coni�:1-File(Si�nitures Required),1-Anplicant 1-Monthlv Revorts, 1-Assessine,l-Finance Page 1 <br />