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CIT`r' OF ORONO PERMIT <br /> 2�750 Kelley Parkway - PO Box 66 Permit Number: Po412s <br /> Crystal Bay, Minnesota 55323 PeC'llllt Typ@: Addition/Remodel/Repair <br /> (952) 249-4600 Date Issued: gi3i2ooi <br /> SITE ADDRESS: 1119 Loma Linda Ave <br /> Mound,MN 55364 <br /> PID: og-ti�-23-23-002� <br /> DESCRIPTION: UBC Occupancy R3 <br /> Construction Type VN <br /> Proposed Use: Residential <br /> Permit Class: Building Census Code 434 <br /> Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck-Attached <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 12525 Valuation: $ 6,000.00 <br /> Plan Review Fee: $ 81.38 <br /> State Surcharge Fee: $ 3.00 <br /> TOTAL FEE: $ 209.63 <br /> APPLICANT: PROJECT FACILITATORS OWNER: W�lliam Pollard <br /> 5057 THREE POINT BLVD 1119 Loma Linda Ave <br /> MOLIND, MN 55364 Mound MN 55364 <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 STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> /� <br /> / ;_ i <br /> �;� 1 .>� � ' ,C._L �`�j./�C�`� �l� � <br /> ,� <br /> APPLICA PE MITEESIGNATURE ISSUEDBYSIGNATURE <br /> Copies: 1-File(SiQnitures Reauired), 1-Applicant. 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1 <br />