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CITY OF ORONO PERMIT <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Po22i9 <br /> Crystal Bay, Minnesota 55323 P@fI111t Type: Addition/Remodel/Repair <br /> (612) 249-4600 Date Issued: 3i2�i2oo <br /> SITE ADDRESS: 2265 Devin La <br /> LONG LAKE, MN 55356 <br /> PID: 0�-1»-23-22-oois <br /> DESCRIPTION: UBC occupancy R3 <br /> Construction Type VN <br /> Proposed Use: <br /> Permit Class: Building Census Code 434 <br /> Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Single Family <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: Eiectricai (siaie j <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 958.75 Vatuation: $ 95,000.00 <br /> Plan Review Fee: $ 623.28 <br /> State Surcharge Fee: $ 47.50 <br /> TOTAL FEE: $ 1,629.53 <br /> APPLICANT: c.N. osTROM& sorr OWNER: B�& �c KOKaL <br /> P.O. BOX 758 2265 DEVIN LA <br /> EXCELSIOR,MN 5533] LONG LAKE MN 55356 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK[N STRICT COMPL[ANCE W[TH ALL CITY OF ORONO ORDINANCES AND <br /> STATE OF MINNESOTA BUILDING CODE REQU[REMENTS. <br /> � �� ��- �.�.- � ��.._ .� <br /> APPLICANT PERMITEE SIGNATURE .SIJED BY SIGNATURE <br /> L <br /> Copies: City,Applicant,Assessor, Finance Page 2 <br />