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PERMIT <br /> CITY OF ORONO Permit ►vumber: <br /> 2750 Kelley Parkway - PO Box 66 P08945 <br /> Crystal Bay�Minnesota 55323 Permit Type: Minor Alterations <br /> (952) 249-4600 Date Issued: <br /> 7/11/2005 <br /> SITE ADDRESS' 4215 Forest Lake Dr Unit# <br /> MOUND,MN 55364 <br /> P��� 07-117-23-12-0026 <br /> DESCRIPTION: <br /> Proposed Use: Residential Census Code O/S-Building <br /> Permit Class: Building <br /> Permit Type: <br /> Minor Alterations Permit Sub-type(s): Building-Re-Roof <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ g3.25 valuation: $ 3,000.00 <br /> State Surcharge Fee: $ 1.50 <br /> TOTAL FEE: $ 84.75 <br /> APPLICANT: Owner/Self OWNER: 70HN&RUTH LOUGLIN <br /> MN 4215 FOREST LAKE 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 W[TH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> �� �� � �. <br /> ,� ` h-� <<�l'�� C_c ,�-� f�f� <br /> APPLICANT PERMITEE SIGNA RE ISSUED BY S[GNATURE <br /> Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1 <br />