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CITY OF ORO�10 PERMIT <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Po�4o6 <br /> Crystal Bay, Minnesota 55323 Permit Type: F�Xtures <br /> (952) 249-4600 Date Issued: 4i2�i2oo4 <br /> SITE ADDRESS: 3300 Bayside Rd <br /> L,ong Lake,MN 55356 <br /> PID: OS-117-23-14-0058 <br /> DESCRIPTION: <br /> Proposed Use: Kesident�al <br /> Permit Class: Plumbing <br /> Permit Sub-type(s): Multiple Fixtures <br /> Permit Type: Fixtures <br /> DETAILS: <br /> Approved per resolution #: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 15.50 <br /> APPLICANT: Steve Santema Plumbing OWNER: Douglas&Jan Humphrey <br /> 412 12th Street, Box 92 3300 Bayside Rd <br /> Howard Lake, MN 55349 Long Lake MN 55356 <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 /> �--_ , �� I '-� � /~ �`� <br /> � �. ___ ��y,c -z -, <br /> APPL[CANT PI?RMITEE SIGNATURE ISSUEDBYSIGNATURE <br /> Copies: 1-File�Sienitures Repuired), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 <br />