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.�. _ . -�aos��s� <br /> . �.'� <br /> , <br /> 'Q�` City of Orono a'1� F�RCiTY USE QNLY <br /> � '�� P.O.Box 66 <br /> O.: O Qate�teceived: 9 � D Permit#do�o-oo O�' <br /> � �;.�, 2750 Kelley Parkway <br /> � '�'i f'. Crystal Bay,MN 55323 OQ <br /> �'? ��«o� (952)249-4600 Art�aunt� $-,�Q,y�,,,=� <br /> t <br /> CITY OF ORONO—SEPTIC SYSTEM PERMIT APPLICATION <br /> (All permits must be approved by the On-Site Septic Manager and/or Building Official) <br /> � � <br /> �Qb l i':: � �� F <br /> , <br /> , ; <br /> ,, . ,.; �. '. <br /> Site Address: 2055 SaIG'fYl COUt"t - Orono <br /> oWner: Jeff & Mary Soderstrom Mailing Address: 2055 Salem Court <br /> c�ty: Long Lake Z;p: 55356 <br /> Home Phone: �952� 47C-8291 Alternate Phone: <br /> ��� �:� F ��l� ,� <br /> Contractor/A Burns Excavating, �11C. Contact Person: St@V@ BUI'C1S <br /> pp.: <br /> Address: 3470 County Road 21 state �icense#: � 888 <br /> c�ty: Mayer Z;p: 55360 Expiration �ate: 3/21/2011 <br /> Phone: (952� 955-3011 Alternate Phone: �612) 685-4303 <br /> � s ��-� � �.'�'�� :{� � � � <br /> ❑� Residential ❑ Commercial ❑ Other <br /> 3 F - � � 3ir:, <br /> .�. ..x.:. � �. , . <br /> F r <br /> : & <br /> ii <br /> ��a; . ..., ,< �'s> , - . - _ <br /> �% <br /> „ �'�,<.r.<, i :.�. .�..���:... ..,-_ .... >.. .. . ... <br /> � .i..y .,,,� .d .,r ,r ., . , . <br /> New or Replacement System $200.00 200.�� <br /> Repair Existing System 100.00 <br /> (Tanks or Drainfield) <br /> State Surcharge 5.00 5.00 <br /> Tota� $205.00 <br /> W:\(Permits)\Septic Permit Application-Updated Surcharge 7-1-10.doc <br /> 1 /2 <br />