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PERMIT <br /> CITY OF O RO N O Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 P06769 <br /> Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures <br /> (952) 249-4600 Date Issued: 9/26/2003 <br /> SITE ADDRESS: 150 North Shore Dr W <br /> MAPLE PLAIN,MN 55359 <br /> PID: 06-117-23-22-0023 <br /> DESCRIPTION: UBC occupancy R3 <br /> Proposed Use: Residential Construction Type VN <br /> Permit Class: Building Census Code 438 <br /> Permit Type: Accessory Structures Permit Sub-type(s): Garage-Detached <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: Electrical(stai6) <br /> NOTICESIREMARKS: <br /> FEE SUMMARY: Permit Fee: $ 125.25 Valuation: $ 6,000.00 <br /> Plan Review Fee: $ 81.38 <br /> State Surcharge Fee: $ 3.50 <br /> TOTAL FEE: $ 210.13 <br /> APPLICANT: Colson Custom Homes OWNER: S D&J A DZUBAY <br /> 180 North Shore Dr. 150 NORTH SHORE DR W <br /> Maple Plan,MN 55359 MAPLE PLAIN MN 55359 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TBE 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 /> 1,&—4 - <br /> APPLICANT PERMMf9 SI 'A ISAMI)BYSIGNATCTRE <br /> Conies: 1-File(Sienitures Required), 1-Awlicant,1-Month1y Revorts, 1-Assessing,I-Finance Page 1 <br />