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PERMIT <br /> `CIS ( OF ORONO PERMIT TYPE: �. <br /> 2750 Kelley Parkway- P.O. Box 66 _-'- :1 j'` a~' <br /> Crystal Bay, Minnesota 55323 Permit Number: i 0744 <br /> (612) 473-7357 Date Issued: 09/10/9 <br /> SITE ADDRESS: <br /> 505 ORCHARD PK RD <br /> i .j <br /> `' . I . N . . 31-11S-73-14-000S <br /> DESCRIPTION: T <br /> -ewer & Water F'rrf:,'}i t Type NEW SEPTIC SYSTF <br /> E <br /> Sewer & Water Work Type RESIDENCE <br /> REMARKS: <br /> • <br /> FEE SUMMARY: <br /> Base Fee $100 . 00 <br /> Surc{,-iiir se <br /> Total Fee $100 . 50 <br /> CONTRACTOR: }$i._ 7 - Applicant - OWNER: _ <br /> PETERSON ELt1ER� _3 iC O 54718151 JFIUL - _ L� �°�_.RAi <br /> ORCHARD <br /> °'u +j S �r-tE=>;_)F AVE '"E a',`_ _ O¢'S_.t-AR Pt, h1,J <br /> riP.1 ANO ('Eli 55328 O{Z.._1i;O MN 5.53 E, <br /> ( ,Y) q72-240 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br /> SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF <br /> ORUr'O OF:D I t,ANC EL: AND STATE OF MINNESOTA BUILDING i:ODE REQUIREMENTS . <br /> L <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />