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PERMIT <br /> J - TY OF ORONO PERMIT TYPE: �at�ICAL <br /> 1335 Brown Rd. South • P.O. Box 66 Permit Number:Crystal Bay, Minnesota 55323 Date Issued: { 1 <br /> (612) 473-7357 <br /> SITE ADDRESS: 425 T13NKAWA RD <br /> CH <br /> '. I .N. : 06-117-23-41-00:238 <br /> DESCRIPTION: FIREPLACE/ RY <br /> I FIREPLACE <br /> G <br /> M <br /> MIi%Y <br /> M^ <br /> REMARKS: <br /> FEE SUMMARY: VALUAT ION $1 CITY <br /> Y 0. G 00 <br /> J71330#? <br /> Base Fee $:=;>:_� CJ(} J <br /> Surcharge ---------- 112212.200000 <br /> Total Fee $130. sig jjJJ jjss(( F 01 &EN }x.54 1 <br /> brjgc ll• L JO.50 <br /> ,q,r-:CEIPT-T,gANK 10, <br /> #230910 C4o1 r?01 T09:3 <br /> 1c:,118191 <br /> CONCRM-TORSONRY 34839094 3_=;4 BURN <br /> (-584 N BIRCH LA 425 TONKAWA RD <br /> SHOREV I EW MN 55126 ORONO MN 553.66 <br /> 483-9094'1. <br /> y, <br /> Y YY� u dwq�v 23 N� k fi <br /> S <br /> 6 xia <br /> APPLICANT/PERMITEE SIG ATURE ISSUED BY:SIGNATURE <br />