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' � PERMIT <br /> CITY OF ORONO Permit Number: <br /> 2;50 Kelley Parkway - PO Box 66 Po�9gg <br /> Crystal Bay, Minnesota 55323 Permit Type: NeW st�u��ure <br /> (952) 249-4600 Date Issued: 1i�9�2o04 <br /> SITE ADDRESS: 783 Boulder Dr <br /> L.ong Lake,MN 55356 <br /> PID: 33-118-23-11-0009 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Construction Type VN <br /> Proposed Use: Residential <br /> Permit Class: Building Census Code 102 <br /> Permit Sub-type(s): New Townhomes-Multi Fa� <br /> Permit Type: New Structure <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: riumoing iviecnanicai rirepiace waier C,onneciion�ewer Conneciion Eieciricai�siazej <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 2,365.75 Valuation: $ 345,000.00 <br /> Plan Review Fee: $ 1,556.03 <br /> State Surcharge Fee: $ 175.50 <br /> SAC Fee: $ 1,350.00 <br /> TOTAL FEE: $ 5,447.28 <br /> APPLICANT: 7ohn Terrance Homes,LLC OWNER: Dahlstrom Development LLC <br /> 8266 Xene Lane 7745 Polaris Lane <br /> Maple Grove,MN 553ll Maple Grove,MN 55311 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE 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 /> , � <br /> ' �.� <br /> ��� �' w �1����' �.1�.�;�,� G�C� /1� <br /> APPLICANT PER TEE [GNATURG ISSUED SIGNATURE <br /> �' <br /> Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 <br />