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• ' PERMIT <br /> CITY OF ORONO <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: P09289 <br /> Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations <br /> (952) 249-4600 Date Issued: l0/26/2005 <br /> SITE ADDRESS: 2565 Countryside Dr Unit# <br /> Long Lake,MN 55356 <br /> P��� 04-117-23-11-0011 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Census Code O/S-Building <br /> Permit Class: Building <br /> Permit Type: <br /> Minor Alterations Permit Sub-type(s): Windows <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> Replace 1 Window&2 Doors <br /> FEE SUMMARY: Pernut Fee: $ 125.25 valuation: $ 5,432.00 <br /> State Surcharge Fee: $ 2.75 <br /> TOTAL FEE: $ 128.00 <br /> APPLICANT: Renewal By Anderson OWNER: Mr. &Mrs. Mich <br /> 1920 County Rd C. West 2565 Countryside Dr <br /> Roseville,MN 55113 Long Lake MN 55356 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL[MPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNE�SOTA BUfLDING CODE REQUIREMENTS. <br /> 1 <br /> f <br /> � / � ,� '��/l�!��� � -. <br /> � PP CANT PERMITEE SIGNATURE � <br /> S UED BY SIGNATURE <br /> Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 <br />