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�_ <br /> PERMIT <br /> CITY OF ORONO <br /> 2750 Kelley Parkway - PO Box 66 Permit Number. aoo2oo3 <br /> Crystal Bay, Minnesota 55323 Pel"171It Typ2: Addition/Remodel/Repair <br /> (612) 249-4600 Date Issued: ����oo <br /> SITE ADDRESS: 2s90 Countrvsidellr <br /> LONG LAKE,MN��356 <br /> PID: 04-11�-z3-ii-ooio <br /> DESCRIPTION: uBC occupancy R3 <br /> Construction'I�pe VN <br /> Proposed Use: <br /> Buildin� Census Code 434 <br /> Permit Class: b <br /> Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Single Family <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: riumoing iviecinanicai Eiecu-icai�siaiej <br /> N�Tir��cio�nnn�itc• <br /> ., , ,.,��,� ."�,r., .,.�. <br /> FE` 5�.;""""�o�: rc������rCc: � ' "'� " <br /> �,""'.'� Valuation: � 274,000.00 <br /> Plan Review Fee: $ 1,301.23 <br /> State Surcharge Fee: $ 140.00 <br /> TOTAL FEE: � 3,409.38 <br /> APPLICANT: JIM uzzELL coNST. OWNER: G sTicKrr�Y&J oi.IVE�us <br /> 2995 T AKESHORE AVE. 2590 COLTNTRYSIDE DR <br /> MEDINA MN 55359 LONG LAKE MN 55356 <br /> THE UNDERSIGNED HEREBY R�QUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT CONII'LIANCE WITH ALL CITY OF ORONO ORDINANCES AND <br /> STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> � <br /> � <br /> t.,-�.s.� C - e ��� ,(? ��� r�:,�--� <br /> APPLICANT PERMI ,NATU ISSLTED BY SIGNAT[JRE /}'_��� <br /> {t <br /> Copies: City, Applicant, Assessor,Finance Page 1 <br />