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CITY OF ORONO PERMIT <br /> 2750 Kelle�� Parkway - PO Box 66 Permit Number: Pos2�o <br /> Crystal Bay, Minnesota 55323 Permit Type: MinorA1terationS <br /> (952) 249-4600 Date Issued: 6i6i2oo2 <br /> SITE ADDRESS: 245 Crestview Ave <br /> L,ong I,ake,MN 55356 <br /> P I D: OS-117-23-14-0020 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Proposed Use: Residential Construction Type VN <br /> Pernut Class: Building Census Code O/S-Building <br /> Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Pernut Fee: $ 54.00 Valuation: $ 1,500.00 <br /> _,State Surcharg�Fee: _ ..$ 1..25. . . . ._ . _ ._ .� <br /> _ _ . . .. . . . . . . . _ _ .. . _ .. _ , . _ <br /> - TOTAL FEE:y � $ 55.25 <br /> APPLICANT: Owner/Self OWNER: Gary Goll II <br /> . _ _ <br /> MN 245 Crestview Ave <br /> Long Lake MN 55356 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF URONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> _ _ . <br /> _ . ., ._ . .. ... , ..._ .. <br /> � . . _ � . � . __ ._. - - � . � ,��� fi'�i�' <br /> APP ICANT PERMITEE SIGNATURE SUED BY SIGNATURE <br /> Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reoorts, 1-Assessin�, 1-Finance Page 1 <br />