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W PERMIT <br /> CITY OF O RO N O Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 P04394 <br /> Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations <br /> (952) 249-4600 Date Issued: 9/26/2001 <br /> SITE ADDRESS: 840 North Shore Dr W <br /> Mound,MN 55364 <br /> PID: 07-117-23-22-0005 <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: $ 125.25 Valuation: $ 6,000.00 <br /> State Surcharge Fee: $ 3.00 <br /> TOTAL FEE: $ 128.25 <br /> APPLICANT: Owner/Self OWNER: Judy Lungstrom <br /> MN 840 North Shore Dr W <br /> Mound MN 55364 <br /> THE UNDERSIGNED BEREBY 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 /> P T GNATURE ISSUED BY SIGNATURE <br /> Copies: 1-File(Signitures Required),1-Applicant,1-Monthly Reports,I-Assessing, 1-Finance Page 1 <br />