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� PERMIT <br /> CITY OF ORONO <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: p09102 <br /> Crystal Bay, Minnesota 55323 Permit Type: New Structure <br /> (952) 249-4600 Date Issued: 10/4/2005 <br /> SITE ADDRESS: 4445 North Shore Dr Unit# <br /> Mound,MN 55364 <br /> PID: 07-117-23-31-0001 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Construction Type VN <br /> Proposed Use: Residential Census Code 101 <br /> Permit Class: Building <br /> Permit Type: New Structure Permit Sub-type(s): New Home-Single Family <br /> DETAILS: <br /> Approved per resolution#: 5360 <br /> Separate permits required: Plumbing Mechanical Fireplace Sewer Connection Well(state)Electrical(state) <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Pernut Fee: $ 3,121.75 valuation: $ 480,000.00 <br /> Plan Review Fee: $ 2,029.14 <br /> State Surcharge Fee: $ 240.00 <br /> TOTAL FEE: $ 5,390.89 <br /> APPLICANT: Rudy Wicklander Homes,Inc. OWNER: James&Margaret Kelly <br /> 15440 Potawatomi Street 5240 Nolan Dr. <br /> Andover,MN 55304 Minnetonka,MN 55343 <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 /> � ��' / 1� <br /> �_.., ' / � � <br /> i L Gs✓ `"� ,f� ���i����'<�. . L1�"�--� <br /> ,; PPLIC E SI�NATURE ISSUED BY SIGNAi'URE <br /> f �y� ,�� ���.�/��� dz��.��. f�� <br /> �� . <br /> Copies: 1-File(Sig at res Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 <br />