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" ,��� City of Orona �t� crt'�,'uSE oN�v <br /> P.t�.Box 66 Oate Rece'�ved���,�_�%�"` errr�it#���� `� / � <br /> �'�. � 275fl Kelley Parkway <br /> ��a�i;''> t Crystal Bay,MN 55323 <br /> ��'���i b� (952)249-4604 'AmovnT: � ��•�• � <br /> ��� <br /> CITY OF QRfJNC)—SEPTIC SYSTEM PERMiT APPL#CATlflN <br /> {Ail permits must be appraved by the OnSite Septic Manage►andtor Bui[ding QiTicial) <br /> Jo�Site/4wner Informatia�: <br /> s�t�aaaress: ��45 Graham Hill Road <br /> Owner. Stt�11eW04d, �..�� Mailing Address: 7407 WayZata Blvd. <br /> �;�,. Minneapo�is, MN. 2i�: 554�6 <br /> Home Phone: AEternate Pharte: ���2) 462-4�t�� <br /> Contracfor/Applicant Informatior�: <br /> contractoriA�p.:Flygare Excavating, In�. Cantact Person: De�n F�Y9�r� <br /> Address; ��'�O ��I St. St. �� State License#: �a3 <br /> City: Annandaie zi�. 553a2 Ex�iration oate: 1-23-13 <br /> Phor�e: (�20� 274-5437 Alternate Phone: �320} 980-385� <br /> TYPES O�OGCUPANCY _ _ <br /> [� Residen#ial ❑ Commercial ❑ Other <br /> P�RlIAiT TYPE AND �EES _ <br /> New or R2placement System $2��.40 ���•�� <br /> Repair Existing System 1 U0.�0 <br /> (Tanks or�rainfreld) <br /> State Surcharge 5.�0 5.00 <br /> Total �20�.�� <br /> W:V(Permits)tSeptic Pefmit Application-tlpdated Surcharge 7-1-10.doc <br /> � �� <br />