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PERMIT <br /> .CITY OF ORONO <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Po33�6 <br /> Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit <br /> (612) 249-4600 Date Issued: �i�v2oo <br /> SITE ADDRESS: 2090 Shoreline Dr <br /> WAYZATA,MN 55391 � <br /> PID: ts-t»-r-2�-000t , �� <br /> � <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: Sewer and Water Permit Permit Sub-type(s): SAC Only <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: va�uation: $ 0.00 <br /> SAC Fee: $ 1,100.00 <br /> TOTAL FEE: $ 1,100.00 <br /> APPLICANT: DOUGLAS HEAD OWNER: DOUGLAS P HEAD ETAL <br /> 2090 SHORELINE Dr 2090 SHORELINE DR <br /> MN 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 <br /> STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURG <br /> Copies: City,Applicant,Assessor,Finance Page 2 <br />