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; � PERMIT <br /> C I TY O F O RO N O Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 P02659 <br /> Crystal Bay, Minnesota 55323 Pe�mit Type: Addition/Remodel/Repair <br /> (612) 249-4600 Date Issued: lii9i2oo <br /> SITE ADDRESS: 8o Leaf St <br /> LONG LAKE, MN 55356 <br /> P��: 04-1 17-23-22-0004 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Construction Type V <br /> Proposed Use: ; � <br /> Permit Class: Building Census Code 434 ����` <br /> (T� �\V <br /> Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck ' <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 111.25 Valuation: $ 5,000.00 <br /> Plan Review Fee: $ 72.28 <br /> State Surch�rge Fee: $ 2.50 <br /> TOTAL FEE: $ 186.03 <br /> APPLICANT: CLASSIC BUILDERS REMODELERS OWNER: JEROME J HALL <br /> 2418 BLACK LAKE Rd 80 LEAF ST <br /> SPRING PARK,MN 55384 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 <br /> STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> �/ � <br /> i� / . <br /> APPLI ANT PE MIT IGNATURE ISSUED BY SIGNATURE <br /> �- <br /> Copies: City,Applicant,Assessor,Finance Page 1 <br />