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� �'°� PERMIT <br /> CITY OF ORONO permit Number: <br /> 2750 Kelley Parkway- PO Box 66 P10629 <br /> Crystal Bay, Minnesota 55323 Permit Type: <br /> Sewer and Water Permit <br /> (952) 249-4600 Date Issued: 12/12/2006 <br /> SITE ADDRESS: 1860 Shoreline Dr Unit# <br /> Wayzata,MN 55391 <br /> PID: 10-117-23-42-0004 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer Connection <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 35.50 <br /> APPUCANT: Westonka Sewer&Water OWNER: Troy Broitzman <br /> 6501 Co.Rd 15 1860 Shoreline Dr <br /> Mound,MN 55364 Wayzata,MN 55391 <br /> THE UNDERSIGNED HEREBY 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 STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> � <br /> LICANT PERMITEE SIGNATURE SSUEU BY SIGNATURE <br /> Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(IfSeptic, 1-Septic) Page 1 <br />