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, . PERMIT <br /> CITY OF ORONO <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Po29o2 <br /> Crystal Bay, Minnesota 55323 Pet'mit Type: Accessory Structures <br /> (612) 249-4600 Date Issued: 9ii v2oo <br /> SITE ADDRESS: 278o Countryside Dr W <br /> LONG LAKE, MN 55356 <br /> PID: 04-117-23-12-0010 <br /> DESCRIPTION: <br /> Proposed Use: <br /> Census Code 328 <br /> Permit Class: Building <br /> Permit Type: Accessory Structures Permit Sub-type(s): Building- Pool <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: Eiecuicai(siaie j <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 223.25 Valuation: $ 13,000.00 <br /> > �� ���; <br /> � l c� �� li�� (�:.t/r� ,. <br /> State Surcharge Fee: $ 6.50 <br /> TOTAL FEE: $ 374.83 <br /> APPLICANT: vaLLEv PooLs OWNER: L J&D T sEwARD�x <br /> 651 CLIFF RD 2780 COUNTRYSIDE DR W <br /> BURNSVILLE, MN 55337 LONG LAKE MN 55356 <br /> TNE 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 /> > <br /> �.��� � (/�%�a.�t <br /> �� APPLI ANT PER TE I NA URE ISSUED BY SIGNATURE <br /> � <br /> Copies: City,Applicant,Assessor, Finance Page 1 <br />