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PERMIT <br /> CITY OF ORONO Permit Number: <br /> 2750 Ke,lley Parkway - PO Box 66 P06499 . <br /> Cryst�l-Bay, Minnesota 55323 Pe�mit Type: Sewer and Water Pernut <br /> (9��)�249-4600 Date Issued: �i2i2oo3 <br /> SITE ADDRESS: 3770 Shoreline Drive(City Park) <br /> Wayzata,MN 55391 <br /> P I D: 17-117-23-34-0003 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Pernut Class: General <br /> Pernut Type: Sewer and Water Pernut Pernut Sub-type(s): Sewer&Water Connections <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 105.00 Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 105.50 <br /> APPLICANT: Valley Rich Co. OWNER: City of Orono(Lift Station#30) <br /> 147 N.Jonathan Blvd-Suite A 1799 Lakeview Ter <br /> Chaska,MN 55318 Long Lake,MN 55356 <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 RE UIREMENTS. <br /> . � <br /> ` _-�. (-� ��� C�'�l /c-�/ <br /> APPLICANT ERMITEE SIGNATURE ISS D BY SIGNATURE <br /> Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 <br />