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PERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> 1335 Brown Rd. South • P.O. Box 66 Permit Number: ';_' WATER <br /> 'r% <br /> Crystal Bay, Minnesota 55323 Date Issued: <br /> (612) 473-7357 <br /> SITE ADDRESS: _1WN RD <br /> _ <br /> L!-:"V <br /> P. I .N. ; 32-118-23-43-0006 <br /> DESCRIPTION: <br /> PARTIAL REEL E'CEMENT <br /> Sewer b Water Perrnit. Tye.,_ DRNFLD Si/OR TAt<,�t_:. <br /> Sewer 31 Water Wc-rk -fype RE'=TDENC:E <br /> F <br /> CITY OF DRW <br /> _'INANCE OFFICE <br /> a <br /> iJll.30VL1Vr1 <br /> 0 <br /> A <br /> Y <br /> .!t i IV 510.00 <br /> � <br /> 1,E <br /> 50.50 <br /> 4 <br /> 4 11� 'c'EPa ! I lNNK YOU <br /> j 3ti i A :'i fi ixl TJ� <br /> i _ <br /> REMARKS: ,+ M <br /> v 3 <br /> FEE SUMMARY: <br /> Base Fee $50 .00 <br /> Surcharge <br /> Tt!t•a I Fee ------- $50. 50 <br /> CONTRACTOR: - App I i c ai-i t. - OWNER: <br /> PETERSON ELMER ,_T CO DUNN WELDON <br /> RR 2 LOX 226 3565 WATER T I iWN RD <br /> DELANO PIN SS32c_t ORONii MIN 5S3S6 <br /> (612) 471-8151 <br /> THE ?1NDER':I Chit D HEREBY REC!L)-_ 1 S P ERN I._..-,I C3N TO MAKE THE <br /> REAL IMPROVEMENT=: <br /> '3 PEC I F I ED AND i=tGREE'3* T1 = DF, ALL WC-:RK 1N '_TR I i_T c_I IMPL I ANCE WITH ALL I T r ± F <br /> OR�:.Fi�O ORi a I h�i�:NcE: AND STATE =:lF MINNESOTA E:t;I LD I t�G C:ODC. RE��i i I�iEt�ENT _I <br /> L <br /> � v <br /> APPLICANT/ ITEE SIGNATURE ISSUED BY:SIGNATURE ��{/ <br />