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� PERMIT <br /> CIT� OF ORONO <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Po�g96 <br /> Crystal Bay, Minnesota 55323 Permit Type: NeW sr�u��ure <br /> (952) 249-4600 Date Issued: 9�i3�2ooa <br /> SITE ADDRESS: 793 Boulder Dr <br /> L.ong Lake,MN 55356 <br /> PID: 33-118-23-11-0013 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Proposed Use: Residential Construction Type VN <br /> Pernut Class: Building Census Code �A3�l�Z� <br /> Permit Type: New Structure Permit Sub-type(s): New Townhomes-Multi Fa� <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: riumoing iviecnanicai ruepiace v�%aier i,onnecrion�ewer i.onneciion EiecQicai�siaiej <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 2,365J5 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: John Terrance Homes,LLC OWNER: Dahlstrom Development LLC <br /> 8266 Xene Lane 7745 Polaris Lane <br /> Maple Grove,MN 55311 Maple Grove,MN 55311 <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 BUIL CODE REQUIREMENTS. <br /> / ` --- — _—_—� <br /> � -- _ _ � ^ ' <br /> � � �� �- � 'i�� ��� <br /> APPLICANT PERMITEE SIGNA RE ISSUED BY SIGNATURE <br /> Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reuorts, 1-Assessing, 1-Finance Page 1 <br />