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G�"ITY'OF OR N PERMIT <br /> � � Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 P06562 <br /> Crystal Bay, Minnesota 55323 Permit Type: Mechanicai Pe�its <br /> (952) 249-4600 Date Issued: ��2ii2oo3 <br /> SITE ADDRESS: 1709 North Farm Rd <br /> Long Lake,MN 55356 <br /> PID: 27-118-23-44-0006 <br /> DESCRIPTION: <br /> Proposed Use: Residenrial <br /> Pernrit Class: General <br /> Permit Type: Mechanical Permits Pernut Sub-type(s): Gas Fireplace <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,500.00 <br /> State Surcharge Fee: $ 0.75 <br /> TOTAL FEE: $ 35.75 <br /> APPLICANT: Brian Hinich Fireplace OWNER: Mr. &Mrs.Randy Rosengren <br /> 7847 Palmgren Ave 1709 North Farm Rd <br /> Otsego,MN 55330 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 STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> -- <br /> .. <br /> �--�-''� � <br /> ,---, /��. <br /> ;. <br /> � C.,��--� /�C'� <br /> � _- <br /> �- - .__ <br /> APPLICANT PERMITEE SIGNATURE IS D BY SIGNATURE <br /> Conies: 1-File(SiQnitures Required), 1-At�vlicant, 1-Monthlv Renorts. 1-Assessine, 1-Finance Page 1 <br />