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2001-P03555 - plumbing
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2615 Countryside Drive - 04-117-23-12-0004
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2001-P03555 - plumbing
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Last modified
8/22/2023 5:06:46 PM
Creation date
4/29/2016 4:18:17 PM
Metadata
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Template:
x Address Old
House Number
2615
Street Name
Countryside
Street Type
Drive
Address
2615 Countryside Dr
Document Type
Permits/Inspections
PIN
0411723120004
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� � � PERMIT <br /> CITY OF ORONO <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Po3sss <br /> Crystal Bay, Minnesota 55323 Permit Type: FiXtures <br /> (952) 249-4600 Date Issued: 2i22i2oo� <br /> SITE ADDRESS: 2615 Countryside Dr <br /> LONG LAKE, MN 55356 <br /> PID: 04-117-23-12-0004 <br /> DESCRIPTION: <br /> Proposed Use: <br /> Permit Class: Plumbing <br /> Permit Type: Fixtures Permit Sub-type(s): �a�Closet <br /> �' <br /> Shower <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUIIIIMARY: Permit Fee: $ 35.00 Valuation: $ 1,000.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 35.50 <br /> APPLICANT: DARRELL BECKSTROM OWNER: D BECKSTROM&K BECKSTROM <br /> 2615 COUNTRYSIDE DRIVE 2615 COUNTRYSIDE DR <br /> ORONO, MN 55356 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 <br /> STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> �.�� 1�� �/ �����r. ) ? ? /' <br /> � - � , � ___:��,.� (��//� y �Z, <br /> i <br /> APPLI ANT ERMIT� GNATURE ,, [SSUEDBYSIGNATURE <br /> Copies: City,Applicant, Assessor, Finance Page 1 <br />
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