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T 7 <br /> City of Orono POD Crry USE ONLY I�.� <br /> P.O.Box 66 pq /P_ <br /> 2750 Kelley Parkway Date Received: Permit# <br /> Crystal Bay,MN 55323 <br /> (952)249-4600 Amount: $ <br /> � � TSOT <br /> ESH0140 <br /> 4� <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 /> Site Address. <br /> Owner: aY J�r�j ('es) Mailing Address: <br /> City: Zip: <br /> Home Phone: y7 1 - 3&2 Alternate Phone: <br /> Contractor/App.: _4�1 -0-5 Contact Person: rz4,D <br /> Address: 3 State License#: L_ `(y <br /> City: / ' ' fi'v Zip: '3 Expiration Date: /�� z �of <br /> Phone: 2- ��� ��,� v Alternate Phone: 7 3 `Y7 f- /7'.z_ <br /> ,,�` ``�s x, .. •,n_..ate,„,.+e2u. ,u: . =,w �. ,�, �, r-st.:: . v��� <�'��r <br /> YResidential ❑ Commercial ❑ Other <br /> New eplacement System $400.00 <br /> Repair Existing System 100.00 <br /> (Tanks or Drainfield) <br /> Total <br /> --RECEIVED <br /> APR 2 5 2016 <br /> 1 /2 <br /> CITY OF ORONO <br />