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CITY bF O RO N O PERMIT <br /> Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 P06313 <br /> Crystal Bay, Minnesota 55323 Permit Type: New Structure <br /> (952) 249-4600 Date Issued: 6/10/2003 <br /> SITE ADDRESS: 4753 North Shore Dr <br /> Mound,MN 55364 <br /> PID: 07-117-23-32-0020 <br /> DESCRIPTION: UBC occupancy R3 <br /> Proposed Use: Residential Construction Type VN <br /> Permit Class: Building Census Code 101 <br /> Permit Type: New Structure Permit Sub-type(s): New Home-Single Family <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: Plumbing Mechanical Fireplace Sewer Connection irrigation 'Wen(sui ie')Eiec icai(state <br /> NOTICESIREMARKS: <br /> A[ A" <br /> FEE SUMMARY: Permit Fee: $ 2,113.75 Valuation: $ 300,000.00 <br /> Plan Review Fee: $ 1,374.03 <br /> State Surcharge Fee: $ 150.50 <br /> SAC Fee: $ 1,275.00 <br /> TOTAL FEE: $ 4,913.28 <br /> APPLICANT: Minnetonka Custom Homes Inc. OWNER: Minnetonka Custom Homes Inc. <br /> 2950 Island View Dr. 2950 Island View Dr. <br /> Mound,MN 55364 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 /> AM <br /> SIGNATURE f r�,..o1L� BY SIGNATURE <br /> Copies:1-Fi1e(Siznitures Required). 1-Applicant,l-Monthly Reports,l-Assessing. 1-Finance Page 1 <br />