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40 City of Orono MRICITYUSEONLY <br /> P.O. Box 66el <br /> � 2750 Kelley Parkway Date Receiv`etl Perrn9t# <br /> Crystal Bay,MN 55323 <br /> (952)249-4600 amount: <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 /> •Y eik��7j1s'4i�"e 3`��,�e <br /> Site Address: V- - <br /> Owner: may ']� Mailing Address: 3 �� Cv ✓l <br /> City: I ,`h �-.� �.r.�- l Zip: 5S-3 `f S <br /> H me Phone: �1�2 - -1 7 S - Z O� Alternate Phone: <br /> Contractor/App.: C. ,e Contact Person: <br /> Address: 1-( 3 ,-Z 5f: S C State License #: (,¢ <br /> City: Zip: s'Y 3 b l Expiration Date: a <br /> Phone: uI, - <br /> Alternate Phone: <br /> Residential ❑ Commercial ❑ Other <br /> ........... <br /> New or Replacement System $100.00 �f d <br /> Repair Existing System 50.00 <br /> (Tanks or Drainfield) <br /> State Surcharge .50 .50 <br /> Total do s� <br /> 1 /2 V:\(Permits)\Septic System Permit Application.doc <br />