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PERMIT <br /> CI�`Y F ORONO <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Po3614 <br /> Crystal Bay, Minnesota 55323 Permit Type: 1v�echanical Permits <br /> (952) 249-4600 Date Issued: 3i�9�2o01 <br /> SITE ADDRESS: 276o Countryside Dr W <br /> LONG LAKE, NIN 55356 <br /> f���: 04-117-23-12-OOII <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,000.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 35.50 <br /> APPLICANT: STRUCTURES UNLIMITED, INC OWNER: R S& L A STODDART <br /> 5425 CLAYTON DRIVE 2760 COUNTRYSIDE DR W <br /> MAPLE PLAIN, MN 55359 LONG LAKE MN 55356 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL INIPROVEMENTS 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 /> l �, , - <br /> � <br /> ( ( ��;��1��� [-L r"! �' � <br /> � - r. ���_� <br /> ,,,. _ ". <br /> ` <br /> � I �1N EE. GNATURE ISSUED Y SIGNATURE <br /> Copies: City, Applicant,Assessor, Finance Page 1 <br />