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f <br /> 7 <br /> PERMIT <br /> C��� Y C�F ORONO Permit Number: <br /> 275 Kelley Parkway - PO Box 66 Pos4s6 <br /> Crys al Bay, Minnesota 55323 Permit Type: septi� <br /> (952 249-4600 Date Issued: si9i2oo2 <br /> SITE DDRESS: 3i6o susseXxa <br /> L.ong Lake,MN 55356 <br /> P I D: 04-117-23-3 2-0008 <br /> DESC PTION: <br /> Propose Use: Residential <br /> Permit lass: General <br /> Permit ype: Septic Permit Sub-type(s): New Septic System <br /> DETAI S: <br /> Approv d per resolution#: <br /> Separat permits required: <br /> NOTI ES/REMARKS: <br /> FEE S MMARY: Permit Fee: $ 100.00 <br /> Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 100.50 <br /> APPLICANT: Dale Denn OWNER: Thomas Forsythe <br /> 1127 Goldenrod Lane 3160 Sussex Rd <br /> Shakopee,MN 55379 Long Lake,MN 55356 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AN AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> M SOTA BUILDING CODE REQUIREMENTS. <br /> � �� � L�l y�tiZ�`���L <br /> APPLIC 'E SIGNATURE 1SSliED BY SIGNATURE <br /> Covi : 1-File(SiQnitures Repuired), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 <br />