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PERMIT <br /> CITY OF ORONO Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 P07103 <br /> Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit <br /> (952) 249-4600 Date Issued: 12/17/2003 <br /> SITE ADDRESS: 865 Willow View Dr <br /> Long Lake,MN 55356 <br /> PID: 28-118-23-44-0005 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: Sewer and Water Permit Permit Sub-type(s): Sewer&Water Connections <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 70.00 <br /> Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 70.50 <br /> APPLICANT: Coppin Sewer&Water OWNER: Brenshell Homes <br /> 5089 Shoreline Drive 4052 Oakland St E <br /> Mound,MN 55364 St.Bonifacius,MN 55375 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> i <br /> ---- - oli't (- ( 1640 <br /> APPLICANT PERMITEE SIGNATURE — <br /> / ISSUED BY SIGNATURE <br /> Conies: 1-File(Si&nitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 <br />