Laserfiche WebLink
: _-„ <br /> . <br /> CIty of Orono �Y Q�// �� <br /> Y U� . <br /> P.O.Box 66 <br /> ��0 2750 Kelley Parkway Date Fdeoei 15 ,,� Per�#�J {� <br /> Crystal Bay,MN 55323 /[�� O� <br /> (952)249-4600 ��rdo�nt: $ 7�/X 1_ <br /> � �" <br /> F G` <br /> t�kESH�4� <br /> CITY OF ORONO— SEPTIC SYSTEM PERMIT APPLICATION <br /> (All pertnits must be approved by the On-Site Septic Manager and/or Building Offician <br /> . .�,. <br /> Site Address: �(D 7� �f ' �����wf 5 �'�C�'� <br /> Owner: �w� ��� �►'�^+�5 Mailing Address: ���/�� <br /> City: %n�ln�.— Zip: <br /> Home Phone: �-�'�+� 5�'`'4"'"'"�'��a''"�-s° �'''� Alternate Phone: <br /> � <br /> Contractor/App.: '��-e�S �r►-• s Contact Person: �r�,�� <br /> Address: �� �3 �'�� ���• State License#: �— � `�C� <br /> City: �r�'�� Zip: � b Expiration Date: /z <br /> Phone: �12- � �� ��7�►�� Alternate Phone: ?b 3 '`�7 t � /7� Z <br /> E 'F�� �, . ��.: � <br /> �`+4�`�4E+ ��, � '.,.�. �"� s��, �'w _ <br /> .�"- <br /> Residential ❑ Commercial ❑ Other <br /> ,. <br /> � �:� � � <br /> � c�`J � <br /> New'or Replacement System $400.00 �X� <br /> air Existing System 100.00 <br /> (Tanks or Drainfield) <br /> � b <br /> Total $ "/ b0 <br /> 1 /2 <br />