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- PERMIT <br /> CITY OF ORONO <br /> �'S��e��ey Parkway- PO Box 66 Permit Number: P09277 <br /> Crysta Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair <br /> (95Z) 249-4600 Date Issued: <br /> 10/13/2005 <br /> SITE ADdRESS: 4210 North Shore Dr Unit# <br /> Mound,MN 55364 <br /> P��� 07-117-23-43-0015 <br /> DESCRIPTION: <br /> Proposed Use: Residential Census Code O/S-Building <br /> Permit Class: Building <br /> Permit T e: Addition/Remodel/Repair Permit Sub-type(s): Building-Re-Roof <br /> YP <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> Replace Garage Roof w/New Roof-2'Pitch Replacing Flat Roof <br /> FEE SUMMARY: Permit Fee: $ 23.50 valuation: $ 500.00 <br /> Plan Review Fee: $ 15.28 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 39.28 <br /> APPLICANT: Owner/Self OWNER: Sara Broeker <br /> MN 4210 North Shore Dr <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 /> _ �j <br /> _ � �„ . <br /> �� f /'t <br /> . � <br /> " � <br /> L , � <br /> _._. ; .� .�'\ <br /> -L_ , — _.___,� L�'YtC�--�i-j l� l <br /> APPLICANT PERM[TEE SIGNATUR� ISSUED BY S[GNATURE <br /> Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 <br />