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PERMIT <br /> CITY OF ORONO Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 P08904 <br /> Crystal Bay, Minnesota 55323 Permit Type: <br /> (952)249-4600 Addition/RemodeURepair <br /> Date Issued: 7/8/2005 <br /> SITE ADDRESS: 50 Myrtlewood Rd Unit# <br /> Wayzata,MN 55391 <br /> PID: 36-118-23-33-0006 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Construcrion Type VN <br /> Proposed Use: Residential <br /> Census Code 434 <br /> Permit Class: Building <br /> Permit T e: AddirionlRemodeURepair Permit Sub-type(s): Deck-Attached <br /> YP <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 321.25 Valuation: $ 20,000.00 <br /> Plan Review Fee: $ 208.81 <br /> State Surcharge Fee: $ 10.00 <br /> TOTAL FEE: $ 540.06 <br /> APPLICANT: R D Bultman Construction Co OWNER: Mr.&Mrs.Champlin <br /> 10205 Heather Lane 50 Myrtlewood Rd <br /> Corcoran,MN 55374 Wayzata MN 55391 <br /> 'I'HE 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 /> - �. � le � <br /> APPLIC T PERMITEE SIGNATURE ISSUEII Y SIGNATURE �L f�� <br /> Copies: I-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 <br />