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PERMIT <br /> CITY.OF ORONO Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 P08640 <br /> Cry�tal Bay, Minnesota 55323 Permit Type: add�c�o�xemoaevRepa�r <br /> (952) 249-4600 Date Issued: s�3i2oos <br /> SITE ADDRESS: 2760 Countryside Dr w <br /> L,ong Lake,MN 55356 <br /> PID: oa-ii�-23-i2-ooil <br /> DESCRIPTION: UBC Occupancy R3 <br /> Construction Type VN <br /> Proposed Use: Residential <br /> Buildin Census Code 434 <br /> Permit Class: g <br /> Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck-Attached <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: <br /> NOTICES/REMARKS: <br /> r�__i_r______:_" <br /> .�:..,C..�'.i:«......." <br /> FEE SUMMARY: Permit Fee: $ 69.25 Valuation: $ 2,000.00 <br /> Plan Review Fee: $ 44.98 <br /> State Surcharge Fee: $ 1.50 <br /> TOTAL FEE: $ 115J3 <br /> APPLICANT: Owner/Self OWNER: 7on&Molly Stern <br /> MN 2760 Countryside Dr W <br /> Long Lake, MN 55356 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI�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 /> �-- ' �° � �.� C' �� <br /> PLICANT PERMITEE SIGNATURE ISSUE BY SIGNATURE <br /> Copies: 1-File(SiQnitures ReAuired), 1-Applicant. 1-Monthlv Reoorts. 1-Assessin�, 1-Finance Page 1 <br />