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CITY OF ORONO PERMIT <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: P05016 <br /> Crystal B,ay, Minnesota 55323 Permit Type: Minor Alterations <br /> (952) 249-4600 Date Issued: 4/8/2002 <br /> SITE ADDRESS: 335 Old Crystal Bay Rd S <br /> Long Lake,MN 55356 <br /> PID: 04-117-23-24-0003 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Proposed Use: Residential <br /> Census Code 0/S-Building <br /> Permit Class: Building <br /> Permit Sub-type(s): Building-Re-Roof <br /> Permit Type: Minor Alterations <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 111.25 <br /> Valuation: $ 4,700.00 <br /> State Surcharge Fee: $ 2.35 <br /> TOTAL FEE: $ 113.60 <br /> APPLICANT: Incline Enterprises Inc OWNER: Mary Ryerse <br /> 26175 Birch Bluff Rd 335 Old Crystal Bay Rd S <br /> Shorewood,MN 55331 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 /> APPLICANT PERMITEE SIGNATURE ISSUED BY IGNATURE <br /> Copies: 1-File(Si&nitures Required). 1-Applicant. 1-Monthly Reports. 1-Assessing, 1-Finance Page 1 <br />