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r <br />� ' � �� � PERMIT <br /> CITY OF ORONO <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: Po2o3s <br /> Crystal Bay, Minnesota 55323 Permit Type: Mecnanicat Pe�its <br /> (612) 249-4600 Date Issued: 2iisioo <br /> SITE ADDRESS: 3675 Jacobs Mill Rd <br /> LONG LAKE,MN 55356 <br /> P I D: 32-118-23-24-0012 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: Mechanical Permits Permit Sub-type(s): Fireplace <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 37.50 Valuation: $ 3,000.00 <br /> State Surcharge Fee: $ 1.50 <br /> TOTAL FEE: $ 39.00 <br /> APPLICANT: The Fireplace Center OWNER: Jeffrey R Ament <br /> 12460 Wayzata Blvd Kari A Ament <br /> Minnetonka,MN 55305 3675 Jacobs Mill Rd <br /> Long Lake,MN 55356 <br /> 'TI�UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVIMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND <br /> STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS. <br /> ��r`-- <br /> �;%� �y��- /r�i <br /> APPLI RM E I D BY SIGNATURE <br /> i.' <br /> Copies: City,Applicant,Assessor,Finance Page 1 <br />