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PERiVIIT <br /> •�� �"Y O F O RO N O Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 P05543 <br /> Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations <br /> (952) 249-4600 Date Issued: si26�2o02 <br /> SITE ADDRESS: 805 Forest Arms Ln <br /> Mound,MN 55364 <br /> P I D: 07-117-23-12-0009 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Proposed Use: Residential <br /> Permit 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 permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 83.25 Valuation: $ 2,800.00 <br /> State Surcharge Fee: $ 1.90 <br /> TOTAL FEE: $ 85.15 <br /> APPLICANT: Owner/Self OWNER: Albert&Valerie Guralnik <br /> MN 805 Forest Arms Ln <br /> Mound,MN 55364 <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 C �-"�=� �,�/ (C-�'�,/ /G;3i"� <br /> APPLICANT PERMITEE SIGNATURE IS ED BY SIGNATURE <br /> Cooies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 <br />