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� <br /> �! - �� - PERMIT <br /> C1�1i� t�F ORONO <br /> �2750 Kelley'Parkway- �PO Box 66 Permit Number: Po22i� <br /> Crystal Bay, Minnesota 55323 Permit Type: Fixtures <br /> (612) 249-4600 Date Issued: 3�i��2oo <br /> SITE ADDRESS: 3745 Jacobs Mill Rd <br /> LONG LAKE,MN 55356 <br /> P I D: 32-118-23-24-0011 <br /> DESCRIPTION: <br /> T_ •�__.a:_1 <br /> PI'oposed Use: nc�iu�iivai <br /> Permit Class: Plumbing <br /> Permit Type: Fixtures Permit Sub-type(s): Single Family <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 199.94 Valuation: $ 15,995.00 <br /> State Surcharge Fee: $ 8.00 <br /> Misa Fee: $ 1.50 MAIL IN <br /> TOTAL FEE: $ 209.44 <br /> APPLICANT: Matthew Daniels Inc. OWNER: Brad Adams <br /> 15230 Carrousel Way 3745 Jacobs Mill Rd <br /> Rosemount,MN 55068 Long Lake,MN 55356 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND <br /> STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS. <br /> • `�j �����"—.v �C� <br /> PPLI E T R I D BY SIGNATURE <br /> Copies:City,Applicant,Assessor,Finance Page 1 <br />