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f CITY OF ORONO PERMIT <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Po41�3 <br /> Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations <br /> (952) 249-4600 Date Issued: si9i2ooi <br /> SITE ADDRESS: 4320 Sixth Ave N <br /> LONG LAKE, MN 55356 <br /> P I D: 31-118-23-12-0009 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Proposed Use: Kesidentiai <br /> Permit Class: Building Census Code O/S-Building <br /> Per►nit 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: $ 111.25 Valuation: $ 5,000.00 <br /> State Surcharge Fee: $ 2.50 <br /> TOTAL FEE: $ 113.75 <br /> APPLICANT: Royal Construction OWNER: F L DETERMAN ETAL <br /> 28222 96th Street 4320 SIXTH AVE N <br /> Zimmerman, MN 55398 LONG LAKE MN 55356 <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 <br /> STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> l <br /> C�L��'t- /� <br /> APPL[CANT PERMITEE I NATU ISS BY SIGNAT[.JRE <br /> Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 <br />