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CITI� O� ORONO PERMIT <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Poss6o <br /> Crystal Bay, Minnesota 55323 Pe►'mit Type: Minor Alterations <br /> (952) 249-4600 Date Issued: li�2oi2oo2 <br /> SITE ADDRESS: 3175 North Shore Dr <br /> Wayzata,MN 55391 <br /> PID: 09-117-23-33-0009 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Proposed Use: Residential <br /> Pernut Class: Building Census Code O/S-Building <br /> Permit Type: Minor Alterations Pernut Sub-type(s): Building-Re-Roof <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: PermitFee: $ 125.25 <br /> Valuation: $ 5,875.00 <br /> State Surcharge Fee: $ 3.45 <br /> TOTAL FEE: $ 128.70 <br /> APPLICANT: �'• F. Smith Construction OWNER: Micheal&Catherine Russin <br /> 5975 Lynwood Blvd 3175 North Shore Dr <br /> Mound,MN 55364 Wayzata MN 55391 <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 /> -� <br /> ' �� ,i� (;/'�(� ���'�:l v � l r f��l�/� <br /> APPUCANT PERMITEE SIGNA RE [�SUED BY S]GNATURE <br /> Cooies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 <br />