Laserfiche WebLink
PERMIT <br /> CITY OF ORONO PERMIT TYPE: '- , <br /> FW��.�_' WATERI <br /> 1335 Brown Rd.South•P.O.BOX 66 Permit Number: {131 ' <br /> Crystal Bay, Minnesota 55323 Date Issued: 11 X23 <br /> (612)473-7357 <br /> SITE ADDRESS: <br /> 4798 NORTH SHORE DR <br /> P . I .N. 07-117-23-:322-0013 <br /> I <br /> DESCRIPTION: <br /> _ewer & Water Permit Type WELL <br /> =ewer & Water Werk Type AES10E E I <br /> 1 <br /> f <br /> REMARKS: <br /> x <br /> STAFF MUST =-1K SITE OF NEW WELL. CONTRACTOR MIST SUBMITTED A COPY OF STATE <br /> WELL RECORD . <br /> FEE SUMMARY: <br /> Base Fee $30.00Surcharge L•11 7 Lit L'!!L'1 Til <br /> ! l!T <br /> Total Fee - __ $30.50 <br /> real - <br /> „L•A L91.L!T JV a VV <br /> 77 <br /> V1 LLIT r,..'V <br /> .. fir_ T( �•: _ <br /> !CLL-L1! f?it!% !QL. <br /> dr711.VL_.L' L•111iy !4 V2 _...•"7J• <br /> Co �PIQR: -- -- <br /> 4972:3340 0W 'TS CLINT <br /> 7 a z HWY 12 E 47`8 NORTH SHORE DR <br /> DELANO MN 552-:228 CRYSTAL BAY MN 55364 <br /> '2') '-472-:-:340 <br /> THCUNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS' II <br /> L• <br /> SPECIFIED'ORDINANCES <br /> AND AGREES. TO 0+3 ALL WORK IN STRICT' COMPLIANCE W_I TH ALL CITY OF <br /> ORON0 ORD I NANC:ES AND STATE -C'+F MINNESOTA BUILDING COM, REQV I REMENTS <br /> PPLICANT/PERMITEE SIGNATURE ISSU BY:SIGNATURE <br />