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' ' PERMIT <br /> CITY OF ORONO <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: p08881 <br /> Crystal Bay, Minnesota 55323 Pel'mlt Type: Addition/RemodeURepair <br /> (952) 249-4600 Date Issued: 7/12/2005 <br /> SITE ADDRESS: 2345 Blaine Avenue(Well No. 3 Pumphous Unit# <br /> Wayzata,MN 553)1 <br /> PID: 17-117-23-34-0011 <br /> DESCRIPTION: <br /> Proposed Use: Other <br /> Census Code 437 <br /> Permit Class: Building <br /> Permit Type: Addition/RemodeURepair Permit Sub-type(s): Building Undefined <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> Installing Antennas On Existing Wireless Towers <br /> FEE SUMMARY: Permit Fee: $ 321.25 Valuation: $ 20,000.00 <br /> Plan Review Fee: $ 208.81 <br /> State Surcharge Fee: $ 10.00 <br /> TOTAL FEE: $ 540.06 <br /> APPLICANT: American Tower OWNER: Village of Orono(Well No. 3 Pumphouse) <br /> 11225 90th Avenue N-#202 P.O. Box 66 <br /> Maple Grove,MN Crystal Bay,MN 55323 <br /> ��� �1�C:) � S S�.:Z. (�,�,Y� 1��-C�Yl. S�� , <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 /> ,--, <br /> �i� �- �, � � � �� �,�"� <br /> PPLICANT P RMITEE S[GNAT �� ISSUED BY SIGNATURE <br /> Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(if Septic, 1-Septic) Page 1 <br />