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PERMIT <br /> CITY OF ORONO Permit Number: <br /> 2750}Celley Parkway- PO Box 66 Po��2o <br /> Crystal Bay, Minnesota 55323 Permit Type: New Structure <br /> (952) 249-4600 Date Issued: s�i6i2ooa <br /> SITE ADDRESS: 3640 Jacobs Mill Rd <br /> Long Lake,MN 55356 <br /> PID: 32-118-23-24-0010 <br /> DESCRIPTION: UBC occupancy R3 <br /> Construcrion Type VN <br /> Proposed Use: Residenrial <br /> Pernut Class: Building Census Code 101 <br /> Permit Type: New Structure Permit Sub-type(s): New Home-Single Family <br /> DETAILS: <br /> Approved per resolurion#: <br /> Separate pemuts required: riumoing iviecnanicai S�iic rirepiace imgauon weii�siaie j�ieciricai(siaie j <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Pernut Fee: $ 4,905.75 Valuation: $ 852,000.00 <br /> Plan Review Fee: $ 3,213.35 <br /> State Surcharge Fee: $ 430.50 <br /> TOTAL FEE: $ 8,549.60 <br /> APPLICANT: Bob Fitch Construction OWNER' Matt Vanslooten <br /> 11725 54th Ave.N. � 3640 Jacobs Mill Rd <br /> Plymouth,MN 55442 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 Sl'ATE OF <br /> MINNESOTA BU ING CODE REQUIRE S. <br /> _ � '�� <br /> �� <br /> APP ICAN PERMITEE GNATURE ISSUEDBYSIGNATURE <br /> Covies: 1-File(SiQnitures Required), 1-Aunlicant, 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1 <br />