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1 1 <br /> PERMIT <br /> tjITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 WATER <br /> Crystal Bay, Minnesota 55323 Permit Number: <br /> (612)473-7357 Date Issued: <br /> SITE ADDRESS: <br /> 0TOWN RD <br /> WATER <br /> T(- <br /> .j i <br /> P . I .N. ; 32-118-2-13-4A-0002 <br /> DESCRIPTION: <br /> Sewer i Water Perrnit Type NEW SEPTIC SYSTE <br /> Sewer & Water Work Type REPLACE EXISTING <br /> REMARKS: <br /> FEE SUMMARY: <br /> Base Fee $100. 00 <br /> Surcharge ----------1-5Q <br /> Total Fee $100 . <br /> SO <br /> CONTRACTOR: - Applicant - OWNER: <br /> VIDLKENANT & SIONS INC 54791547 HART DOUGLAS <br /> 1030 CTY RD 83 3280 WATERTOWN RD <br /> MAPLE PLAIN MN 55_5 1 9 ORONO MN 5 53 j 6- <br /> k612) A79-1647 <br /> THE UNDERSIGNED HEREBY REQUESTS P M I S-18 10, RE <br /> E TO MAKE, <br /> SPECIFIED AND AGREES TO 00 ALL W0RK, -IN,.,1S.,,TR �,T Cj3W 14" 1 LL1 tI T," of� <br /> ORONO ORDINANCES AND STATE OF <br /> X <br /> ae�-- <br /> -V <br /> APPLICANT/PERMITEE SIGNATURE �) ISSUED BY:SIGNATURE <br />