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* - . <br /> ��� City of Orono FOR CITY USE ONLY <br /> P.O. Box 66 <br /> � � 2750 Kelley Parkway Date Received: �l�{'J�s Permit# ����UU !L <br /> Crystal Bay,MN 55323 �G <br /> � (952)249-4600 Amount: $ ydv� . <br /> s� �� �9 �����s <br /> ��kPS}�l 17�� <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 /> Job Site / Owner Information: <br /> Site Address: �� 5^' ���-'�b-.S� ���i �e�-c<<�` <br /> Owner. � � � �� �1�=,�0 � % Mailing Address: ��� ��`�d'�s���`>'�� 'U <br /> City: � f"'�o Zi <br /> p� <br /> Home Phone: Alternate Phone: <br /> Contractor/Applicant Information: <br /> Contractor/App.: �l�t� � • ����`r �"`1 � Contact Person: J-� �raL�r�^1G,,'� <br /> Address: s 12r �4,���_���- .S'� State License #: Z��/ <br /> City: Q����o Zip: `����2a, Expiration Date: <br /> Phone: 7�� - 9`�2 �2��.d . Alternate Phone: <br /> TYPES OF OCCUPANCY <br /> � Residential ❑ Commercial ❑ Other <br /> PERMIT TYPE AND FEES <br /> ___� �,f. <br /> New or Replacement System $400.00 �� <br /> Repair Existing System 100.00 <br /> (Tanks or Drainfield) <br /> State Surcharge 5.00 5.00 <br /> v <br /> Tota l $ �Q�j� <br /> 1 /2 <br />