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PERMIT <br /> CITY OF ORONO <br /> 2.750 Kelley Parkway - PO Box 66 Permit Number: P07159 <br /> Crystal Bay, Minnesota 55323 Permit Type: New Structure <br /> (952) 249-4600 Date Issued: 1/29/2004 <br /> SITE ADDRESS: 210 North Shore Dr W <br /> Mound,MN 55364 <br /> PID: 06-117-23-23-0018 <br /> DESCRIPTION: UBC Occupa/R3ConstructionProposed Use: ResidentialPermit Class: Building Census CodePermit Type: New Structure Permit Sub- -Single Family <br /> DETAILS: <br /> Approved per resolution#: <br /> 1 <br /> Separate permits required: riumbing mechanicai Septic Firepiace irrigation eii (state)mectncai(state) <br /> NOTICES/REMARKS: ; <br /> FEE SUMMARY: Permit Fee: $ 3,827.50 Valuation: $ 625,000.00 <br /> Plan Review Fee: $ 2,503.34 <br /> State Surcharge Fee: $ 315.50 <br /> TOTAL FEE: $ 6,646.34 <br /> APPLICANT: Lundgren Brothers Const. OWNER: Lundgren Br ers Const. <br /> 545 E. Indian Mound 545 E. Indian and <br /> Wayzata,MN 55391 Wayzata,MN 55 91 <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 /> AJ�LW(4", �� -�► <br /> APPLICANT PERMIT E IGNATURE 1 SUED BY SIGNATURE <br /> Copies: 1-File(Siznitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessine, 1-Finance Page I <br />