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CITY OF ORONO PERMIT <br /> 2750 k�elley Parkway - PO Box 66 Permit Number: Poa6o6 <br /> Crystal Bay, Minnesota 55323 Pe►-mit Type: MinorAtterations <br /> (952) 249-4600 Date Issued: t 1�9i2ooi <br /> SITE ADDRESS: 2636 Lydiard Ave <br /> Excelsior,MN 55331 <br /> PID: 2�-i��-23-22-oot2 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Proposed Use: Residential <br /> Census Code O/S- Building <br /> Permit Class: Building <br /> Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ g3•25 Valuation: $ 2>500.00 <br /> State Surcharge Fee: $ 1.25 <br /> TOTAL FEE: $ 84.50 <br /> APPLICANT: Owner/Self OWNER: Telford Thompson <br /> I�'IN 2636 Lydiard Ave <br /> Excelsior,MN 55331 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEI�NTS 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 /> G� '-.----�i '�'Z- � <br /> � " �%`� <br /> APPL[CANT PER ITEE SI ATURE [S EDBYSIGNATURE <br /> Copies: 1-File(Si2nitures Reauired), 1-Apnlicant, 1-Month(v Reports, 1-Assessin�, 1-Finance Page 1 <br />