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ff <br /> A, City of Orono CI USE ONLY <br /> �Ol V P.O.Box 66 7 ` _01.5-- L? <br /> 2750 Kelley Parkway Date Received: �J Permit# <br /> Crystal Bay, MN 55323 <br /> (952)249-4600 Amount: $ �• <br /> a <br /> yF <br /> G <br /> l�kESHG11 <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 /> Jab Site <br /> Site Address: / <br /> Owner: /'� c�a � �-S ESf�7`-� Mailing Address: <br /> City: (> d on Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor/ � <br /> �s <br /> Contractor/App.: Fl,, r Contact Person: J^� �r e-(ti <br /> Address: 9 State License #: 02 (q <br /> City: Q-e—AZip: Expiration Date: <br /> Phone: �2 Alternate Phone: <br /> ® Residential ❑ Commercial ❑ Other <br /> �°• W AR pp <br /> New or Replacement System $400.00 % ©� <br /> Repair Existing System 100.00 <br /> (Tanks or Drainfield) <br /> Total $ goo <br /> 1 / 2 <br />