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� <br /> PERMIT <br /> �CITY OF ORONO Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 P06227 <br /> Crystal Bay, Minnesota 55323 Pel"CTllt Typ2: Addition/Remodel/Repair <br /> (952) 249-4600 Date Issued: si22�2o03 <br /> SITE ADDRESS: 4365 North Shore Dr <br /> Mound,MN 55364 <br /> P I D: 07-117-23-43-0031 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Construction Type VN <br /> Proposed Use: Residential <br /> Buildin Census Code 434 <br /> Pernut Class: g <br /> Permit Type: Addition/Remodel/Repair Pernut Sub-type(s): Addn/Remodel/Repair <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: riumoing iviecnanicai Eiecmcai�siaiej <br /> NOTICES/REMARKS: <br /> wr---`------:�- -��_`:-- r------- ----' ------`- ---�------ ---�� � <br /> .. ..._.. .. ________.. <br /> .r::.:�:i::::-::::a..::::::..::::::.:.::::::b....,i..i.::::. t::aYY'J"'b '.ti.:.:::.:::c::: <br /> FEE SUMMARY: Permit Fee: $ 678•75 Valuation: $ 55,000.00 <br /> Plan Review Fee: $ 441.28 <br /> State Surcharge Fee: $ 28.00 <br /> TOTAL FEE: $ 1,148.03 <br /> APPLICANT: Stonehearth Custom Homes(See Comment OWNER: Nicholas&Sandra Summers <br /> 609 131st Ave N. 4365 North Shore Dr <br /> Champlin,MN 55316 Mound,MN 55364 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> Ge-�r��c�r,�v� S��ud ��� <br /> ,�.� j�t; (�"}�t'l��,�� .�'��',�- <br /> APPLICANT PERMITEE SIGNATURE . ' ISSUED BY SIGNATURE <br /> Copies: 1-File(Si�nitures Required), 1-Aoplicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 <br />