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- PERMIT <br /> CITY GF G�RONO <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: P10828 <br /> Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations <br /> (952) 249-4600 Date Issued: <br /> 3/16/2007 <br /> SITE ADDRESS: 1040 Loma Linda Ave Unit# <br /> Mound,MN 55364 <br /> P��: 08-117-23-23-0028 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Construction Type VN -'� <br /> Proposed Use: Residential � <br /> Census Code �,_ O/S-Building <br /> .__ <br /> Permit Class: Building <br /> Permit Type: <br /> Minor Alterations Permit Sub-type(s): Windows <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> This Pernut Replaces P09835 -New Contractor,New Work Being Done <br /> FEE SUMMARY: Permit Fee: $ 492.25 Valuation: $ 35,000.00 <br /> State Surcharge Fee: $ 17.50 <br /> TOTAL FEE: $ 509.75 <br /> APPLICANT: United Framers Builders&Remodelers OWNER: Cindy Shapiro <br /> 6240 White Drive 5704 Deville Dr <br /> Prior Lake,MN 55372 Edina,MN 55436 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPR�MENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF OR ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. � <br /> q � V����� <br /> /— <br /> � 1 <br /> APPLICANT PERMITEE SIGNATURE � ISSUED BY SIGNATl1RE <br /> u' <br /> Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 <br />