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A PERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 <br /> Permit Number: <br /> Crystal Bay, Minnesota 55323 0091 4 <br /> (612) 473-7357 Date Issued: <br /> SITE ADDRESS: <br /> sr; WEAR LA N <br /> DESCRIPTION: <br /> SEPTIC SYSTEM <br /> Sewer & Water Permit Type NEW SEPTIC :\/: TC <br /> Mer Work lypk7: RE!7;IDENcE <br /> REMARKS: <br /> FEE SUMMARY: <br /> .Jase Fee $100 . 00 <br /> Surcnarg -4-jac2 <br /> iota' Fet: $100 . E,0 <br /> CONTRACTOR: '-- Applicant - <br /> WESTONKA SEWER & WATER INC S472,1966 <br /> COUNTY RO 1S WEAR LA N <br /> MN K-, 64 ORONO b!nbt7.= <br /> ( 1.2) <br /> THE UNDERSIGNED HEREEN . :EQU :STS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br /> SPECIFIED ANO AGRFES Tj Do Ail_ WORK IN STRICT COMPLIANCE WITH ALL CITY OF <br /> ORONO oRDTWNCESAN- ' ATE OF MINNESOTA PUTLOTNG CODP RFOUTREMENTS . <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />