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CITY OF ORONO PERMIT <br /> Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 P07627 <br /> Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair <br /> (952) 249-4600 Date Issued: 7/12/2004 <br /> SITE ADDRESS: 4119 Oak Street <br /> Long Lake,MN 55356 <br /> PID: 06-117-23-41-0110 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Proposed Use: Residential Construction Type VN <br /> Permit Class: Building Census Code 434 <br /> Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 643.75 Valuation: $ 50,000.00 <br /> Plan Review Fee: $ 418.53 <br /> State Surcharge Fee: $ 25.50 <br /> TOTAL FEE: $ 1,087.78 <br /> APPLICANT: Lake Country Builders OWNER: Micheal&Paula Huddy <br /> Peter W. Jacobson 4119 Oak Street <br /> 339 Second Street Long Lake,MN 55356 <br /> Excelsior,MN 55331 <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 /> APPLICPERM1,rgg'�Ir,NATURE ISSUED BY SIGNATURE r� <br /> Conies: 1-File(Sienitures Required), 1-ADplicant. 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 <br />