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¢�� P.O.Box Orono FC�R CITY•U5E QNLY <br /> O O ' �� #��*��� <br /> �- 2750 Kelley Parkway Da#e Received �°��_ � � Pernaif# � <br /> � � Crystal Bay,MN 55323 °' <br /> ��� (952)249-4600 Amount ��'��� $:���• ���� ��.� <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 /> Site Address: ��` � S 1' �`��� � ` � ` <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor/App.: O�sON CO�k-��G�-���1 Contact Person: �C� 1�-�-�C�I b�� � <br /> Address: �,�,_9�� ��/,(�(X.�l /�C1 State License #: 1 � � � <br /> City: Zip: � Expiration Date: 1 r l <br /> Phone: � -��-t��- . (u7� Altemate Phone: ��o/�Z��`�"Z� <br /> Residential ❑ Commercial ❑ Other <br /> New or Replacement System $200.00 v��� ' � <br /> Repair Existing System 100.00 <br /> (Tanks or Drainfield) <br /> State Surcharge 5.00 5.00 <br /> Total $ ;ZOS.- 4C� <br /> W:\(Permits)\Septic Permit Application-Updated Surcharge 7-1-10.doc <br /> 1 / 2 <br />