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�ITY OF ORONO PERMIT <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Pogis� <br /> Crystal Bay, Minnesota 55323 Pe►'mit Type: Mechanical Permits <br /> (952) 249-4600 Date Issued: ll�ls�2oo4 <br /> SITE ADDRESS: 2510 Sandstone La <br /> Long L.ake,MN 55356 <br /> PID: 33-118-23-11-0021 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Pernut Class: General <br /> Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> Set&Vent gas fireplaces only. Gas by others <br /> FEE SUMMARY: Permit Fee: $ 37.50 <br /> Valuation: $ 3,000.00 <br /> State Surcharge Fee: $ 1.50 <br /> Misc.Fee: $ 1.50 <br /> TOTAL FEE: $ 40.50 <br /> APPLICANT: Condor Fireplace&Stone Co. OWNER: Dahlstrom Development LLC <br /> 8282 Arthur St NE 7745 Polaris Lane <br /> Spring Lake Park,MN 55432 Maple Grove,MN 55311 <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,fl�A..(� �C/Y\ <br /> I <br /> APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE <br /> Cooies: 1-File(Si,�nitures Repuired), 1-Applicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1 <br />