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` � PERMIT <br /> CITY OF ORONO Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 Po�2s9 <br /> Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit <br /> (952) 249-4600 Date Issued: 2i2sizooa <br /> SITE ADDRESS: 2476 Sandstone La <br /> L.ong I.alce,NIN 55356 <br /> PID: 33-118-23-11-0026 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer&Water Connections <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ ��•� Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 70.50 <br /> APPLICANT' �'estonka Water&Sewer OWNER' Dahlstrom Development LLC <br /> � 6501 County Rd 15 � 7745 Polaris Lane <br /> Mound,MN 55364 Maple Grove,MN 55311 <br /> THE UNDERSIGNID HII2EBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN Sf RICT COMPL,IANCE WITH ALL CTTY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUII.DING CODE REQUII2EMII�iTS. <br /> C <br /> � C <br /> APPLICANTPERMITEES NATURE ISSUEDBYSIGNATURE <br /> Copies: 1-File(SiQnitures Reauiredl. 1-Annlicant, 1-Monthlv Renorts. 1-Assessine. 1-Finance Page 1 <br />